Active NPI
Jenniferthompson FNP-BC LLC
Doing business as Advanced Practice and Telemedicine
- Primary Care Clinic/Center
- Fredericksburg, VA
National Provider Identifier
1649991167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508940214 | Other | VA | INDIVIDUAL NPI |
| 1508940214 | Medicaid | VA |
Other names 2
- Advanced Practice and Telemedicine
- Advanced Primary Care
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2270702 | Advanced Primary Care | Certificate of waiver | Oct 19, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.