Individual Healthcare Provider
Keitra Thompson, CRNP
Provider's NPPES record last updated: May 10, 2020
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063942555
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Bridgeport, Connecticut
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 6:44 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (Connecticut)
- 8742
- Nurse Practitioner (District of Columbia)
- RN1050784
- Nurse Practitioner (Maryland)
- R214567
- Nurse Practitioner (Ohio)
- APRNCNP021660
Practice Locations
Practice Location
64 Black Rock Ave
Bridgeport, Connecticut 06605-1200
Phone: (203) 579-5000
Additional Practice Location
5936 Martin Luther King Jr Hwy
Seat Pleasant, Maryland 20743
Phone: (202) 889-7901
Additional Practice Location
2041 Martin Luther King Jr Ave Se Ste 300
Washington, District of Columbia 20020
Phone: (202) 889-7901
Additional Practice Location
200 N Wolfe Street
Rubenstein Bldg, 2nd Floor, Suite 2096
Baltimore, Maryland 21287
Phone: (443) 287-1140
Fax: (410) 550-4141
Additional Practice Location
21 Grand St
Hartford, Connecticut 06106-1541
Phone: (860) 550-7500
Record Information
- Enumeration Date
- June 15, 2017
- Provider's NPPES Record Last Updated
- May 10, 2020
- Certification Date
- May 10, 2020
- NPISignal NPPES Dataset
- August 2026
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