Active NPI
Cheryl A Thomas, PA
- Medical Physician Assistant
- Lanham, MD
National Provider Identifier
1821175084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C0002193
- Practice address
- 8118 Good Luck Road
Lanham, MD 20706-3596 - Phone
- (301) 552-8130
- Fax
- (301) 552-8135
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C0002193 | MD | Primary |
Addresses
Primary practice location
8118 Good Luck Road
Lanham, MD 20706-3596
Mailing address
8909 Old Branch Avenue
Clinton, MD 20735
Phone (301) 868-7780
Other names 1
- Cheryl A Hackney
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0002193 | MD | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238976000000",
"number": "1821175084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8909 OLD BRANCH AVENUE",
"city": "CLINTON",
"state": "MD",
"postal_code": "20735",
"telephone_number": "301-868-7780",
"fax_number": "301-868-9098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8118 GOOD LUCK ROAD",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063596",
"telephone_number": "301-552-8130",
"fax_number": "301-552-8135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "CHERYL",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2009-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C0002193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "HACKNEY",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.