Individual provider Active NPI

Vanessa Ange Thompson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cheverly, MD
National Provider Identifier
1659100949
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R222126 Issued in MD
Practice address
6492 Landover Rd
Cheverly, MD 20785-1451
Phone
(443) 877-5242
NPI assigned
Jul 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R222126 MD Primary

Addresses

Primary practice location

6492 Landover Rd
Cheverly, MD 20785-1451

Mailing address

3310 Meadow Valley Dr
Abingdon, MD 21009-2628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R222126MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindvance Behavioral Health Solutions Psychiatric/Mental Health Current Accepting new patients
Mindbodypinnacle Health LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

9811 Mallard Dr
Ste 120
Laurel, MD 20708
Phone (443) 713-8643

9811 Mallard Dr
Ste 210
Laurel, MD 20708
Phone (443) 713-8643

Organizations & group practices 2

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": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1659100949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 MEADOW VALLEY DR",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6492 LANDOVER RD",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851451",
            "telephone_number": "443-877-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "VANESSA",
        "middle_name": "ANGE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R222126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheverly, MD

Sources for this page

Verify at the official NPI Registry.