Provider Demographics
NPI:1770513889
Name:THOMPSON-SCOTT, HELENE MARY (CNM)
Entity type:Individual
Prefix:
First Name:HELENE
Middle Name:MARY
Last Name:THOMPSON-SCOTT
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 668
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-275-0638
Mailing Address - Fax:585-273-3359
Practice Address - Street 1:905 CULVER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-7141
Practice Address - Country:US
Practice Address - Phone:585-275-7892
Practice Address - Fax:585-341-6673
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY609367A00000X
NYF000609367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYMDB019OtherPREFERRED CARE
NY01672408Medicaid
NY4111OtherBLUE SHIELD OF ROCHESTER
NY7658192OtherAETNA
NYP010000609OtherBLUE CHOICE
NY4111OtherBLUE SHIELD OF ROCHESTER
J400006642Medicare PIN