Active NPI
Judith Thompson Gore, A.D.,R.N.,B.S.N,MSN,
- Adult Health Nurse Practitioner
- Manassas, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0024047673
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
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.
- Credentials
- Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Now Inc | Current | 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 | Past | 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
- 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.
-
- Internal Medicine Physician
- Montpelier, VA
- NPI 1043523087
-
- Geriatric Medicine (Internal Medicine) Physician
- Montpelier, VA
- NPI 1750340709
-
- Internal Medicine Physician
- Manassas, VA
- NPI 1750719977
-
- Specialist
- Manassas, VA
- NPI 1497927537
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1194762294
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.