AMAIYA MELISSA THOMPSON (NPI# 1154627362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154627362 |
| Entity Type | Individual |
| Full Name | AMAIYA MELISSA THOMPSON |
| Other Name | AMAIYA MELISSA JACKSON |
| Credential | PA-C |
| Practice Address |
2199 Old Bridge Rd Lake Ridge VA 22192 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 7033579707 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2018-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110003395 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2199 OLD BRIDGE RD |
| City | LAKE RIDGE |
| State | VA |
| Zip Code | 22192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790769453 | Steven Frederick Williams | Physician Assistant | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2005-12-05 |
| 1356814511 | Ivonne Cruz | Nurse Practitioner | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2019-01-09 |
| 1659891919 | Riken Kumar | Internal Medicine | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2017-06-27 |
| 1326588260 | Amanda Heger | Nurse Practitioner | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2017-02-26 |
| 1649511791 | Patient First Richmond Medical Group | Non-Pharmacy Dispensing Site | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2013-03-13 |
| 1902147374 | Patient First Richmond Medical Group | Family Medicine | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2013-03-11 |
| 1043570294 | Mary Anne Alexander | Internal Medicine | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2012-05-22 |
| 1578842191 | Saurabh Gambhir | Family Medicine | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2011-08-13 |
| 1205135159 | Lauren Lee Cassis | Physician Assistant | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2011-03-17 |
| 1982906038 | Sara Woodby-brown | Nurse Practitioner | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2010-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638986 | Courtney Anne Kassner | Physician Assistant | 2706 Davis Ave, Alexandria, VA 22302-2817 | 2020-08-06 |
| 1295356145 | Nilofar Ariasaif | Physician Assistant | 15401 Bald Eagle Ln, Woodbridge, VA 22191-3782 | 2020-05-01 |
| 1396366555 | Sheelon Aghili | Physician Assistant | 5801 Hampton Forest Way, Fairfax, VA 22030-7254 | 2020-04-29 |
| 1679102347 | Mary Herrera | Physician Assistant | 6353 Center Dr Ste 204, Norfolk, VA 23502-0001 | 2020-04-05 |
| 1720614019 | Andrew James Meyers | Physician Assistant | 229 W Bute St Apt 207, Norfolk, VA 23510-1415 | 2020-03-18 |
| 1902432644 | Madison Alexis Cooper | Physician Assistant | 920 Battlefield Blvd S Ste 101, Chesapeake, VA 23322-4254 | 2020-03-13 |
| 1285296111 | Kimberly Stewart Hugo | Physician Assistant | 10932 Point Grey Road, Henrico, VA 23233-2429 | 2019-07-01 |
| 1558824698 | Jessica Leigh Pacuch | Physician Assistant | 2440 Raphine Rd, Raphine, VA 24472-2541 | 2019-04-06 |
| 1073074431 | Nicholas Alexander Jones | Physician Assistant | 924 Parley Pl, Chesapeake, VA 23323-4135 | 2019-03-28 |
| 1003371410 | Ryan Timothy Pyles | Physician Assistant | 25 Commerce Park Drive, Raphine, VA 24472 | 2019-02-11 |
| Find all providers with the same taxonomy | ||||
| City | LAKE RIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on AMAIYA MELISSA THOMPSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.