Chiquita Michone Thomas-Jackson, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024178799 Issued in VA

Practice address

3916 S Crater Rd
Petersburg, VA 23805-9202

Phone

(804) 526-4300

NPI assigned

Jun 29, 2021

Last updated

Jun 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sajid Naveed, MD, LLC

  • Nephrology Physician
  • Petersburg, VA
  • NPI 1053903195
  Medicare reassignment NPD
• Crater Community Hospice Inc

  • Community Based Hospice Care Agency
  • Petersburg, VA
  • NPI 1962407700
  NPD

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1184294415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S 17TH AVE",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238603609",
            "telephone_number": "757-678-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059202",
            "telephone_number": "804-526-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS-JACKSON",
        "first_name": "CHIQUITA",
        "middle_name": "MICHONE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024178799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Petersburg Smile Center, P.C.
• Dimitrios Theodoridis, M.D.
• Therapeutic in Home Counseling
• Harindran Theruvath, M.D.
• Thisability Community Engagement
• Michael Anthony Thomas, LPC
• Ina Thompson, MA, LPC
• Threatt Counseling & Behavioral Health Services, LLC
• Threatt Counseling Services, LLC
• Charita Threatt, LPC

• Adult Health Nurse Practitioner in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.

Verify at the official NPI Registry.