Active NPI
Jennifer Ann Thomas, NP
- Women's Health Nurse Practitioner
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 0024168723
- Practice address
- 1101 Wilson Blvd FL 6
Arlington, VA 22209-2281 - Phone
- (888) 731-8994
- NPI assigned
- May 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001205407 | VA | |
| Women's Health Nurse Practitioner | 363LW0102X | 0024168723 | VA | Primary |
Addresses
Primary practice location
1101 Wilson Blvd FL 6
Arlington, VA 22209-2281
Mailing address
112 Maverick CT
Granbury, TX 76049-1381
Phone (888) 731-8994
Other practice location 1
112 Maverick Ct
Granbury, TX 76049-1381
Phone (888) 731-8994
Other practice location 2
173 Saint Patricks Dr Ste 104
Waldorf, MD 20603-5530
Phone (888) 731-8994
Other practice location 3
139 Centre St Ph 120
New York, NY 10013-4559
Phone (888) 731-8994
Other practice location 4
601 Pennsylvania Ave NW
Washington, DC 20004-2601
Phone (888) 731-8994
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| -010 | Other | VA | TRICARE/CHAMPUS |
| PAR | Other | VA | MULTIPLAN |
| PAR | Other | VA | CORVEL |
| PAR | Other | VA | USA MANAGED CARE |
| 10086920N | Other | VA | OPTIMA HEALTH |
| 1013235902 | Medicaid | VA | |
| 1013235902 | Other | VA | VIRGINIA PREMIER HEALTH PLAN |
| 7005854 | Medicaid | NC |
Other names 1
- Jennifer Ann Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100713000118 | VA | Practitioner - Nurse Practitioner | 3274665195 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001205407 | VA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Womens Care PC | Past | Accepting new patients |
Interoperability endpoints
- jennifer.thomas.1@27069.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1972266732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1013235902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 MAVERICK CT",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760491381",
"telephone_number": "888-731-8994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 WILSON BLVD FL 6",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222092281",
"telephone_number": "888-731-8994"
}
],
"practiceLocations": [
{
"address_1": "112 Maverick Ct",
"address_purpose": "LOCATION",
"city": "Granbury",
"state": "TX",
"postal_code": "760491381",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "173 Saint Patricks Dr Ste 104",
"address_purpose": "LOCATION",
"city": "Waldorf",
"state": "MD",
"postal_code": "206035530",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "139 Centre St Ph 120",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100134559",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 Pennsylvania Ave NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200042601",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-17",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001205407",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "VA",
"license": "0024168723",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "-010",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH",
"identifier": "10086920N",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013235902",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER HEALTH PLAN",
"identifier": "1013235902",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7005854",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "SMITH",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.