Carla Bibby Thatch

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

309 Mill St
#101
Occoquan, VA 22125

Phone

(703) 494-3949

Fax

(571) 295-3205

NPI assigned

Jan 16, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1336486950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 CHASTE TREE PL",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925440",
            "telephone_number": "216-269-6314",
            "fax_number": "571-295-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 MILL ST",
            "address_2": "#101",
            "city": "OCCOQUAN",
            "state": "VA",
            "postal_code": "22125",
            "telephone_number": "703-494-3949",
            "fax_number": "571-295-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THATCH",
        "first_name": "CARLA",
        "middle_name": "BIBBY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Occoquan, VA
• Providers in Occoquan, VA by specialty
• Case Manager/Care Coordinator in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.