Individual provider Active NPI

Vanessa Cynthia Thomas, CRNP

  • Adult Health Nurse Practitioner
  • Pasadena, MD
National Provider Identifier
1639179104
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R102907 Issued in MD
Practice address
8028 Ritchie Hwy
Ste 210
Pasadena, MD 21122-1075
Phone
(410) 766-1995
Fax
(410) 761-6095
NPI assigned
Jul 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R102907 MD Primary

Addresses

Primary practice location

8028 Ritchie Hwy
Ste 210
Pasadena, MD 21122-1075

Mailing address

1237 Glenhaven Rd
Baltimore, MD 21239-2238
Phone (410) 323-3185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, 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
I20051109000794 MD Practitioner - Nurse Practitioner 3476571381 Reassigns benefits to 1 organization
I20131101000051 DC Practitioner - Nurse Practitioner 3476571381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

40 S Dundalk Ave
Suite 400
Dundalk, MD 21222-4273
Phone (410) 220-0720

601 7TH St
Suite 304
Laurel, MD 20707-4011
Phone (410) 220-0720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R102907MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matclinic Physicians Practice Group LLC CurrentSince May 6, 2024 Accepting new patients
Matclinic Physicians Practice Group LLC CurrentSince May 6, 2024 Accepting new patients
Matclinic Physicians Practice Group LLC Current Accepting new patients

Locations

40 S Dundalk Ave
Ste 400
Dundalk, MD 21222
Phone (410) 220-0270

1101 Opal Ct
Ste 301
Hagerstown, MD 21740
Phone (240) 329-9033

601 7th St
Ste 304
Laurel, MD 20707
Phone (410) 220-0280

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": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639179104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 GLENHAVEN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392238",
            "telephone_number": "410-323-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8028 RITCHIE HWY",
            "address_2": "STE 210",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221075",
            "telephone_number": "410-766-1995",
            "fax_number": "410-761-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "VANESSA",
        "middle_name": "CYNTHIA",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R102907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.