MEDICARE: MONICA KRISTINE THOMPSON NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	0024179894	VA

General Provider Information

NPI Number	:	1174158539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA KRISTINE THOMPSON NP

Provider Business Mailing Address
First Line	:	8613 ROUTE 29 # 200N
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22031-2171
Country	:	US
Telephone Number	:	571-350-8400
Fax Number	:	703-280-9596

Provider Business Practice Location Address
First Line	:	4660 KENMORE AVE STE 1018
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22304-1306
Country	:	US
Telephone Number	:	571-350-8400
Fax Number	:	703-823-5723

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2020
Last Update Date	:	02/18/2026

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