Individual provider Active NPI

Kathy Diane Thomason, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1750098794
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024185592 Issued in VA
Practice address
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone
(540) 981-7000
NPI assigned
Oct 31, 2022
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024185592 VA Primary

Addresses

Primary practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Other practice location 1

2001 Crystal Spring Ave SW Ste 201
Roanoke, VA 24014-2465
Phone (540) 853-0100

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.carilionclinic.org Health Information Exchange (HIE) Carilion Clinic

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230126001605 VA Practitioner - Nurse Practitioner 6204207400 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rapha Medical Center LLCGroup PAC ID 7618327081, 8 clinicians
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

179 London CT
Ruckersville, VA 22968-3367
Phone (434) 249-9752

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000

2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925

2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rapha Medical Psych Services CurrentSince Sep 1, 2025 Accepting new patients
Kingsford Physician Services, LLC CurrentSince Nov 1, 2024 Accepting new patients
Ingleside Physician Services, LLC CurrentSince Feb 27, 2024 Accepting new patients
Rapha Medical Center LLC Acute Care CurrentSince Nov 1, 2024 Accepting new patients
Rapha Medical Center LLC PastSince Jun 15, 2025 Accepting new patients

Locations

2387 Warm Hearth Dr
Blacksburg, VA 24060
Phone (540) 443-3437

600 Peter Jefferson Pkwy
Ste 110
Charlottesville, VA 22911
Phone (434) 235-4955

650 Peter Jefferson Pkwy
Ste 100
Charlottesvle, VA 22911
Phone (434) 293-4072

290 Commons Pkwy
Daleville, VA 24083
Phone (540) 725-8210

4621 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 645-6794

60 Brimley Dr
Fredericksburg, VA 22406
Phone (540) 369-6184

1 Arh Ln
Low Moor, VA 24457
Phone (540) 345-2593

2081 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 846-8437

2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100

282 Ben Bolt Ave
Tazewell, VA 24651
Phone (276) 582-3510

Interoperability endpoints

  • Direct secure messaging: kthomason93568@direct.carilionclinic.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1750098794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "540-981-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Crystal Spring Ave SW Ste 201",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240142465",
            "country_code": "US",
            "telephone_number": "540-853-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMASON",
        "first_name": "KATHY",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024185592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.carilionclinic.org",
            "affiliation": "Y",
            "endpointDescription": "Main point of access",
            "affiliationName": "Carilion Clinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CVI",
            "address_1": "Carilion Clinic",
            "address_2": "1906 Belleview Ave SE",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "24014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.