Individual provider Active NPI

Erika Vanwyck Thomas, FNP

  • Family Nurse Practitioner
  • Kettering, OH
National Provider Identifier
1093375750
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024183145 Issued in VA
Practice address
2115 E Dorothy LN
Kettering, OH 45420-1176
Phone
(937) 610-9174
NPI assigned
Jun 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.025024 OH
Student in an Organized Health Care Education/Training Program 390200000X OH
Family Nurse Practitioner 363LF0000X 0024183145 VA Primary

Addresses

Primary practice location

2115 E Dorothy LN
Kettering, OH 45420-1176

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Other names 1

  • Erika Vanwyck Pope Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, DC, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191212001318 OH Practitioner - Nurse Practitioner 1951734524 Reassigns benefits to 1 organization
I20230419001313 DC Practitioner - Nurse Practitioner 1951734524 Reassigns benefits to 1 organization
I20230420003070 VA Practitioner - Nurse Practitioner 1951734524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

9401 Lee Hwy 400
Fairfax, VA 22031-1847
Phone (703) 383-4836

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Ohio LLC Family CurrentSince Dec 4, 2019 Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 1, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 1, 2023 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

2115 E Dorothy Ln
Kettering, OH 45420
Phone (937) 299-8437

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

44160 Scholar Plz
Ste 450
Leesburg, VA 20176
Phone (703) 450-8660

8644 Sudley Rd
#220
Manassas, VA 20110

2070 Chain Bridge Rd
Ste 150
Vienna, VA 22182
Phone (703) 794-5376

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: erika.thomas.1@8042.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1093375750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 E DOROTHY LN",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201176",
            "telephone_number": "937-610-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ERIKA",
        "middle_name": "VANWYCK",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-15",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025024",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024183145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "POPE",
            "middle_name": "VANWYCK",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.