Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Lee Thacker, FNP

Individual provider Family Nurse Practitioner · NPI 1114621810

Amanda Lee Thacker, FNP is a Nurse Practitioner in Leesburg, Virginia. Qualified in 2022, 4 years ago. Practices with Loudoun Medical Group, PC, a 274-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2023
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

19450 Deerfield Ave Ste 200
Leesburg, VA 20176-6821
Phone: (703) 844-8380
Fax: (703) 263-8393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3022 Williams Dr Ste 100, Fairfax, VA 22031-4600 — (703) 698-9400

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024185322 (VA)

Record details

NPI number1114621810
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 28, 2023
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing address224-D Cornwall St., Nw, Suite 403, Leesburg, VA 20176-2704

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Loudoun Medical Group, Pc — 274 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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