Teresa D Thomas, FNP
Individual provider Active NPI Family Nurse Practitioner · Marion, VA
NPI 1760969844 · NPPES record last updated Jul 23, 2018
Key facts
- NPI
- 1760969844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024175769 (VA)
- Practice address
- 340 Bagley Cir
Marion, VA 24354-3126 - Phone
- (276) 783-1200
- NPI assigned
- Jul 23, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwestern Virginia Mental Health Institute
Practice addresses (Care Compare)
340 Bagley Cir
Marion, VA 24354-3126
Phone (540) 783-1200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190924002688 | VA | Practitioner - Nurse Practitioner | 6103156765 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Virginia Mental Health Institute | Current |
Accepting new patients | |
| Southwestern Virginia Mental Health Institute | Current |
Accepting new patients |
Locations
340 Bagley Cir
Marion, VA 24354
Phone (276) 783-1200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024175769 | VA | Yes |
Addresses
Primary practice location
340 Bagley Cir
Marion, VA 24354-3126
Mailing address
340 Bagley Cir
Marion, VA 24354-3126
NPI Registry JSON
{
"created_epoch": "1532304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1760969844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 BAGLEY CIR",
"city": "MARION",
"state": "VA",
"postal_code": "243543126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 BAGLEY CIR",
"city": "MARION",
"state": "VA",
"postal_code": "243543126",
"telephone_number": "276-783-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "TERESA",
"middle_name": "D",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-23",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024175769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, VA
- Mary Martha Teitelbaum
- The Garzon Clinic
- Thomas William Voglewede
- Crystal Thomas
- Jennifer Lynn Thomas
- Grace Ann Thome
- Brian C Thompson
- Jan Marie G Thompson
- Maureen Thompson
- Thrive Recreational Therapy
All providers in Marion, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.