Venesalud Primary Care, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VENESALUD PRIMARY CARE, LLC

Practice address

611 S Carlin Springs Rd Ste 412
Arlington, VA 22204-1087

Phone

(703) 344-2004

NPI assigned

Aug 6, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Glenda W Thomas, DNP, FNP-CNPI 1407396195

Title

Owner

Phone

(703) 344-2004

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20097/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenda Thomas, DNP-FNP

  • Family Nurse Practitioner
  • Fairfax, VA
  • NPI 1407396195
  NPD (past) Authorized official

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1669027652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 SANDY FOLLY CT",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220391032",
            "telephone_number": "757-771-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S CARLIN SPRINGS RD STE 412",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041087",
            "telephone_number": "703-344-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENESALUD PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-344-2004",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Eduardo Velasco
• Neli Velentzas, LCSW
• Hari Veena Veligeti, MD
• Raj Vemuri, DPT
• Terence Marquis Venable
• Sarah Elisa Venezian, PHARMD
• Meghan Veno, MD
• Kamana Verma, M.D
• Alison Versaggi
• Gail Gibson Vest, NP

• Clinic/Center in Arlington, VA
• Providers in Arlington, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.