Kirstin I Thode, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101255595 Issued in VA

Practice address

9300 Dewitt Loop
Sunrise Pavilion
Fort Belvoir, VA 22060-5285

Phone

(571) 231-2408

NPI assigned

Apr 16, 2007

Last updated

Aug 3, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1235354093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP",
            "address_2": "SUNRISE PAVILION",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605285",
            "telephone_number": "571-231-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP",
            "address_2": "SUNRISE PAVILION",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605285",
            "telephone_number": "571-231-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THODE",
        "first_name": "KIRSTIN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01064726A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101255595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Devera Tefferi, PHARM.D.
• Alexander Luis Tejada, DO
• Jessica L Temple, PSY.D.
• Christina Brandon Terehoff, NP
• Panpan Ko Thet
• Brianna Thomas, OTD, OTR/L
• Craig Thomas, MD, MHA, FAAFP
• Susan Thomas, MSN, CRNP
• Regina Thorp
• Stephanie Ticer

• Psychiatry Physician in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.