Healthcare Provider Details

I. General information

NPI: 1598041881
Provider Name (Legal Business Name): KATHY J THOMPSON RN, MSN, MSN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2011
Last Update Date: 05/04/2023
Certification Date: 05/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5255 LOUGHBORO RD NW
WASHINGTON DC
20016-2633
US

IV. Provider business mailing address

1903 YARMOUTH CT
MANSFIELD TX
76063-4015
US

V. Phone/Fax

Practice location:
  • Phone: 202-537-4080
  • Fax:
Mailing address:
  • Phone: 804-661-6671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024169609
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN1053284
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: