Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Desirea La Shay Thompson, NP

Individual provider Nurse Practitioner · NPI 1194618025

Desirea La Shay Thompson, NP is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2024, 2 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2025
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

125 Queens Rd Ste 250
Charlotte, NC 28204-3419
Phone: (704) 316-5100
Fax: (704) 316-5101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Hawthorne Ln, Charlotte, NC 28204-2515 — (704) 384-4000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5022261 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5022261 (NC)

Record details

NPI number1194618025
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 30, 2025
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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