Active NPI
Glenda Thomas, DNP-FNP
- Family Nurse Practitioner
- Fairfax, VA
National Provider Identifier
1407396195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024174347
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024174347 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rizwan Q Dar MD PC | Past | Accepting new patients | |
| Venesalud Primary Care, LLC | Past | Accepting new patients | |
| Loehmann'S Walk-in Clinic PLLC | Past | Accepting new patients |
Interoperability endpoints
- glenda.thomas.1@20097.direct.athenahealth.com
- 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.
-
- Clinic/Center
- Arlington, VA
- NPI 1669027652
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1790915056
-
- Internal Medicine Physician
- Fairfax, VA
- NPI 1730391970
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.