Individual provider Active NPI

Jennifer Thompson, NP

  • Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1508940214
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0017138309 Issued in VA
Practice address
2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone
(703) 670-1313
Fax
(904) 346-0113
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0017138309 VA Primary

Addresses

Primary practice location

2300 Opitz Blvd
Woodbridge, VA 22191-3311

Mailing address

PO Box 759101
Baltimore, MD 21275-0001
Phone (703) 205-9790

Other identifiers 1

IdentifierTypeStateIssuer
P00370396OtherVARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20041102000720 VA Practitioner - Nurse Practitioner 5294797122 Reassigns benefits to 3 organizations
I20121112000311 FL Practitioner - Nurse Practitioner 5294797122 Reassigns benefits to 3 organizations
I20150105001536 DC Practitioner - Nurse Practitioner 5294797122 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0017138309VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Apr 1, 2022 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Apr 1, 2022 Accepting new patients
FL-I Medical Services, LLC Nurse Practitioner Current Accepting new patients
Pensacola Emergency Physicians, LLC Current Accepting new patients
Pensacola Emergency Physicians, LLC CurrentSince Aug 25, 2018 Accepting new patients
FL-I Medical Services LLC Nurse Practitioner CurrentSince Apr 26, 2017 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Emergency Medicine Services of VA, LLC CurrentSince Apr 1, 2023 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Nov 1, 2020 Accepting new patients
FL-I Medical Services LLC Nurse Practitioner CurrentSince Apr 26, 2017 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Nov 1, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Apr 1, 2022 Accepting new patients
Baxley Emergency Physicians LLC Past Accepting new patients
Sheridan Emergency Physician Services of Virginia, Inc Past Accepting new patients
Bestpractices, Inc. Past Accepting new patients
Bestpractices, Inc. Past Accepting new patients
Arnot Medical Services PLLC Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

996 Airport Rd
Destin, FL 32541
Phone (615) 338-1250

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

120 Executive Center Pkwy
Fredericksburg, VA 22401
Phone (540) 374-5097

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

10502 Rhoads Dr
Fredericksburg, VA 22407
Phone (540) 710-9100

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

5001 Plank Rd
Fredericksburg, VA 22407
Phone (540) 498-4000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

422 Garrisonville Rd
Ste 102
Stafford, VA 22554
Phone (540) 657-4800

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1508940214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212750001",
            "telephone_number": "703-205-9790",
            "fax_number": "904-346-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913311",
            "telephone_number": "703-670-1313",
            "fax_number": "904-346-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0017138309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00370396",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.