Individual provider Active NPI

Glenda Thomas, DNP-FNP

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1407396195
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174347 Issued in VA
Practice address
2826 Old Lee Hwy Ste 250
Fairfax, VA 22031
Phone
(703) 854-1298
Fax
(703) 854-1305
NPI assigned
Mar 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024174347 VA Primary

Addresses

Primary practice location

2826 Old Lee Hwy Ste 250
Fairfax, VA 22031

Mailing address

2826 Old Lee Hwy Ste 250
Fairfax, VA 22031-4348
Phone (703) 854-1298

Other practice location 1

7283 Arlington Blvd
Falls Church, VA 22042-3200
Phone (703) 846-9555

Other practice location 2

611 S Carlin Springs Rd Ste 412
Arlington, VA 22204-1087
Phone (703) 344-2004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024174347VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rizwan Q Dar MD PC Past Accepting new patients
Venesalud Primary Care, LLC PastSince Aug 11, 2019 Accepting new patients
Loehmann'S Walk-in Clinic PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: glenda.thomas.1@20097.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20097/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1407396195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 OLD LEE HWY STE 250",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314348",
            "telephone_number": "703-854-1298",
            "fax_number": "703-854-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 OLD LEE HWY STE 250",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-854-1298",
            "fax_number": "703-854-1305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7283 Arlington Blvd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423200",
            "country_code": "US",
            "telephone_number": "703-846-9555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 S Carlin Springs Rd Ste 412",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222041087",
            "country_code": "US",
            "telephone_number": "703-344-2004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "GLENDA",
        "credential": "DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.