Active NPI
Deborah Thomson, R. N. M. N. N. P.
- Women's Health Nurse Practitioner
- Manassas, VA
National Provider Identifier
1730181678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 0024108580
- Practice address
- 8644 Sudley Rd Ste 305
Manassas, VA 20110 - Phone
- (703) 368-1969
- Fax
- (703) 369-4164
- NPI assigned
- Aug 11, 2005
- Last updated
- Oct 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 0024108580 | VA | Primary |
Addresses
Primary practice location
8644 Sudley Rd Ste 305
Manassas, VA 20110
Mailing address
8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339
Other practice location 1
9304 Forest Point Cir
Manassas, VA 20110-4700
Phone (703) 368-1969
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7790228 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024108580 | VA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Women's Care, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1730181678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8110 MAPLE LAWN BLVD STE 235",
"city": "FULTON",
"state": "MD",
"postal_code": "207592694",
"telephone_number": "301-340-8339",
"fax_number": "301-340-9027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8644 SUDLEY RD STE 305",
"city": "MANASSAS",
"state": "VA",
"postal_code": "20110",
"telephone_number": "703-368-1969",
"fax_number": "703-369-4164"
}
],
"practiceLocations": [
{
"address_1": "9304 Forest Point Cir",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201104700",
"country_code": "US",
"telephone_number": "703-368-1969",
"fax_number": "703-369-4164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMSON",
"first_name": "DEBORAH",
"credential": "R. N. M. N. N. P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "VA",
"license": "0024108580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7790228",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.