Individual provider Active NPI

Judith Thompson Gore, A.D.,R.N.,B.S.N,MSN,

  • Adult Health Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1821095498
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024047673 Issued in VA
Practice address
8525 Rolling Rd
Suite 222
Manassas, VA 20110-3647
Phone
(703) 335-0720
Fax
(703) 335-0750
NPI assigned
Jun 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024047673 VA Primary

Addresses

Primary practice location

8525 Rolling Rd
Suite 222
Manassas, VA 20110-3647

Mailing address

8525 Rolling Rd
Suite 222
Manassas, VA 20110-3647
Phone (703) 334-0720

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
I20090319000134 VA Practitioner - Nurse Practitioner 5294896726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Care Now, IncGroup PAC ID 9638364565, 3 clinicians

Practice addresses (Care Compare)

16618 Mountain Rd
Suite B
Montpelier, VA 23192-2649
Phone (804) 883-0052

6411 Horsepen Rd
Richmond, VA 23226-2905
Phone (804) 288-3240

Hospital & facility affiliations

  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Care Now Inc CurrentSince Aug 9, 2014 Accepting new patients
Commonwealth Internal Medicine & Geriatrics PC Past Accepting new patients
Uva Community Health Medical Group, LLC Past Accepting new patients
W James Werner MD Family Medicine PLC PastSince May 18, 2002 Accepting new patients

Locations

16618 Mountain Rd
Ste B
Montpelier, VA 23192
Phone (804) 523-9200

6411 Horsepen Rd
Richmond, VA 23226
Phone (804) 288-3240

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2921/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1821095498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 ROLLING RD",
            "address_2": "SUITE 222",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103647",
            "telephone_number": "703-334-0720",
            "fax_number": "703-334-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 ROLLING RD",
            "address_2": "SUITE 222",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103647",
            "telephone_number": "703-335-0720",
            "fax_number": "703-335-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "JUDITH",
        "middle_name": "THOMPSON",
        "name_prefix": "Mrs.",
        "credential": "A.D.,R.N.,B.S.N,MSN,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024047673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.