Individual provider Active NPI

Tishambay Denise Thompson, NP

  • Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1598093072
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024177247 Issued in VA
Practice address
5372 Fallowater LN Ste 200
Roanoke, VA 24018-0909
Phone
(216) 898-8399
Fax
(216) 898-8455
NPI assigned
Nov 23, 2009
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024177247 VA Primary
Registered Nurse 163W00000X 198916 NC

Addresses

Primary practice location

5372 Fallowater LN Ste 200
Roanoke, VA 24018-0909

Mailing address

13921 Hollow Wind Way Unit 101
Woodbridge, VA 22191-6057
Phone (281) 770-9577

Other practice location 1

6130 Landover Rd
Cheverly, MD 20785-1022
Phone (202) 715-6624

Other practice location 2

7200 Glen Forest Dr Ste 106
Richmond, VA 23226-3768
Phone (804) 495-0053

Other practice location 3

130 Carbonton Rd
Sanford, NC 27330-4009
Phone (919) 774-6521

Other names 1

  • Ti D Thompson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190625000578 VA Practitioner - Nurse Practitioner 8820322977 Reassigns benefits to 9 organizations
I20190905001477 DC Practitioner - Nurse Practitioner 8820322977 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manbir Takhar PCGroup PAC ID 0749206951, 41 clinicians
Virginia Urgent Care LLCGroup PAC ID 2062572456, 24 clinicians
American Greatest Care LLCGroup PAC ID 0648717512, 14 clinicians
Tru Health Group PCGroup PAC ID 6406216183, 29 clinicians
Roanoke Valley Healthcare Partners LLCGroup PAC ID 0143490326, 53 clinicians

Practice addresses (Care Compare)

12321 Middlebrook Rd
Germantown, MD 20874-1591
Phone (301) 428-1070

12581 Milstead Way
Suite 103
Woodbridge, VA 22192-5425
Phone (703) 897-5890

14087 Richmond Hwy
Suite 101
Woodbridge, VA 22191-2171
Phone (571) 300-8000

14520 Richmond Hwy
Woodbridge, VA 22191-2808
Phone (301) 428-1070

15 S Gateway Dr
Suite 101
Fredericksburg, VA 22406-1231
Phone (540) 368-5603

330 White Oak Rd
Fredericksburg, VA 22405-2792
Phone (540) 373-2424

3990 Fettler Park Dr
Dumfries, VA 22025-1997
Phone (571) 499-5813

602 Brandon Ave SW
Suite 222
Roanoke, VA 24015-3212
Phone (540) 774-0000

7598 Telegraph Rd
Alexandria, VA 22315-3829
Phone (301) 428-1070

9276 Old Keene Mill Rd
Burke, VA 22015-4201
Phone (571) 516-3116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
198916NCMDRegistered Nurse
0024177247VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fhenix Weight Loss Forever LLC CurrentSince Feb 9, 2025 Accepting new patients
Tru Health Group, PC CurrentSince Jul 14, 2024 Accepting new patients
Pinnacle Healthcare Services, LLC CurrentSince Jan 15, 2025 Accepting new patients
Virginia Urgent Care LLC CurrentSince Dec 10, 2024 Accepting new patients
Roanoke Valley Healthcare Partners, LLC CurrentSince Nov 11, 2022 Accepting new patients
True North Health Navigation LLC CurrentSince Apr 23, 2020 Accepting new patients
American Greatest Care LLC CurrentSince Jun 23, 2024 Accepting new patients
Fhenix Weight Loss Forever LLC Nurse Practitioner CurrentSince Jul 1, 2025 Accepting new patients
Atlantic Healthcare Services LLC Nurse Practitioner CurrentSince May 6, 2019 Accepting new patients
American Greatest Care LLC Past Accepting new patients
Blue Ridge Healthcare Partners, LLC PastSince Nov 11, 2022 Accepting new patients

Locations (25 of 37)

6130 Landover Rd
Cheverly, MD 20785
Phone (240) 828-8200

12321 Middlebrook Rd
Ste 101
Germantown, MD 20874
Phone 3014281070260

12321 Middlebrook Rd
Ste 102
Germantown, MD 20874
Phone (301) 428-3192

5060 Bradenton Ave
Ste B
Dublin, OH 43017
Phone (609) 969-8562

6850 Perimeter Dr
Ste B
Dublin, OH 43016
Phone (614) 267-8387

725 Buckles Ct N
Ste 120
Gahanna, OH 43230
Phone (614) 591-3891

2030 Stringtown Rd
Ste 210
Grove City, OH 43123
Phone (614) 328-5582

12380 Plaza Dr
Parma, OH 44130
Phone (216) 898-8444

350 W Wilson Bridge Rd
Ste 200
Worthington, OH 43085
Phone (614) 505-8990

2854 Bell St
Zanesville, OH 43701
Phone (740) 454-3273

4660 Kenmore Ave
Ste 200
Alexandria, VA 22304
Phone (336) 624-7164

7598 Telegraph Rd
Alexandria, VA 22315
Phone (703) 778-0400

9276 Old Keene Mill Rd
Burke, VA 22015
Phone (571) 516-3116

25031 Riding Plz
Ste 115
Chantilly, VA 20152

3990 Fettler Park Dr
Dumfries, VA 22025
Phone (571) 499-5813

15 S Gateway Dr
Ste 101
Fredericksburg, VA 22406
Phone (540) 368-5603

330 White Oak Rd
Fredericksburg, VA 22405
Phone (540) 373-2424

5825 Plank Rd
Ste 105
Fredericksburg, VA 22407
Phone (540) 785-2727

6106 Health Center Ln
Fredericksburg, VA 22407
Phone (540) 785-1103

4101 Dominion Blvd
Glen Allen, VA 23060
Phone (804) 747-5555

4101 Dominion Blvd
Ste 300
Glen Allen, VA 23060
Phone (804) 747-5555

531 E Market St
Leesburg, VA 20176

531 E Market St
Ste D
Leesburg, VA 20176
Phone (301) 427-1070

12731 Stone Village Way
Midlothian, VA 23113
Phone (804) 379-1500

1210 Wolf Rock Dr
Purcellville, VA 20132
Phone (310) 428-1070

Interoperability endpoints

  • Direct secure messaging: tishambay.thompson.1@20907.direct.athenahealth.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1598093072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13921 HOLLOW WIND WAY UNIT 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916057",
            "telephone_number": "281-770-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5372 FALLOWATER LN STE 200",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180909",
            "telephone_number": "216-898-8399",
            "fax_number": "216-898-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6130 Landover Rd",
            "address_purpose": "LOCATION",
            "city": "Cheverly",
            "state": "MD",
            "postal_code": "207851022",
            "country_code": "US",
            "telephone_number": "202-715-6624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 Glen Forest Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232263768",
            "country_code": "US",
            "telephone_number": "804-495-0053",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Carbonton Rd",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273304009",
            "country_code": "US",
            "telephone_number": "919-774-6521",
            "fax_number": "919-776-6179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TISHAMBAY",
        "middle_name": "DENISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-23",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024177247",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "198916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TI",
            "last_name": "THOMPSON",
            "middle_name": "D",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.