Organization Active NPI

Fhenix Weight Loss Forever LLC

  • Nurse Practitioner
  • Cheverly, MD
National Provider Identifier
1841005519
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
FHENIX WEIGHT LOSS FOREVER LLC
Practice address
6130 Landover Rd
Cheverly, MD 20785-1022
Phone
(202) 715-6624
NPI assigned
Feb 10, 2025
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Tishambay Thompson, FNPNPI 1598093072
Title
NP
Phone
(703) 568-3876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

6130 Landover Rd
Cheverly, MD 20785-1022

Mailing address

13885 Hedgewood Dr Ste 241
Woodbridge, VA 22193-7931
Phone (202) 715-6624

Other practice location 1

13885 Hedgewood Dr Ste 241
Woodbridge, VA 22193-7931
Phone (202) 715-6624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250911001553 VA Part B Supplier - Clinic/Group Practice 1850894361 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbridge, VA

National Provider Directory

National Provider Directory
Tax ID family
Fhenix Weight Loss Forever2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13885 Hedgewood Dr
Ste 241
Woodbridge, VA 22193
Phone (202) 715-6624

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1841005519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13885 HEDGEWOOD DR STE 241",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221937931",
            "telephone_number": "202-715-6624",
            "fax_number": "765-680-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 LANDOVER RD",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851022",
            "telephone_number": "202-715-6624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13885 Hedgewood Dr Ste 241",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221937931",
            "country_code": "US",
            "telephone_number": "202-715-6624",
            "fax_number": "765-680-8654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FHENIX WEIGHT LOSS FOREVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TISHAMBAY",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "703-568-3876",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheverly, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.