Vida Telehealth PLLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

VIDA TELEHEALTH PLLC

Practice address

9100 Panama City PL Apt 3374
Dulles, VA 20189-1463

Phone

(571) 267-2325

NPI assigned

Jan 30, 2024

Organization subpart

No

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

Authorized official

Name

Adrian Thompson, PA-CNPI 1700900834

Title

Owner

Phone

(202) 880-4972

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Adrian Beam Thompson, PA-C

  • Physician Assistant
  • Arlington, VA
  • NPI 1700900834

  Medical

  NPD Authorized official

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1669234043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 WILSON BLVD STE 650",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092455",
            "telephone_number": "571-267-2325",
            "fax_number": "571-267-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 PANAMA CITY PL APT 3374",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201891463",
            "telephone_number": "571-267-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA TELEHEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-880-4972",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kacey Lynn Zane, RN

• Medical Physician Assistant in Dulles, VA
• Providers in Dulles, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.