Organization Active NPI

Jenniferthompson FNP-BC LLC

Doing business as Advanced Practice and Telemedicine

  • Primary Care Clinic/Center
  • Fredericksburg, VA
National Provider Identifier
1649991167
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JENNIFERTHOMPSON FNP-BC LLC
Doing business as
Advanced Practice and Telemedicine
Advanced Primary Care
Practice address
10500 Wakeman Dr Ste 105
Fredericksburg, VA 22407-8012
Phone
(540) 358-8725
Fax
(540) 242-3426
NPI assigned
Sep 5, 2022
Last updated
Sep 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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

Authorized official

Name
Ms. Jennifer Thompson, NP
Title
Owner/Partner
Phone
(540) 424-4013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

10500 Wakeman Dr Ste 105
Fredericksburg, VA 22407-8012

Mailing address

10500 Wakeman Dr Ste 105
Fredericksburg, VA 22407-8012
Phone (540) 358-8725

Other identifiers 2

IdentifierTypeStateIssuer
1508940214OtherVAINDIVIDUAL NPI
1508940214MedicaidVA

Other names 2

  • Advanced Practice and Telemedicine Doing business as
  • Advanced Primary Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2270702Advanced Primary Care10500 Wakeman Dr, Suite 105, Fredericksburg, VA 22407Certificate of waiverOct 19, 2026

National Provider Directory

National Provider Directory

Locations

10500 Wakeman Dr
Ste 105
Fredericksburg, VA 22407
Phone (540) 358-8725

NPI Registry JSON

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662336000000",
    "number": "1649991167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 WAKEMAN DR STE 105",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224078012",
            "telephone_number": "540-358-8725",
            "fax_number": "540-242-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 WAKEMAN DR STE 105",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224078012",
            "telephone_number": "540-358-8725",
            "fax_number": "540-242-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFERTHOMPSON FNP-BC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-04",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "540-424-4013",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1508940214",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508940214",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Practice and Telemedicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.