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

Mr. Adrian Scott Thacker, FNP-C

Individual provider Family Nurse Practitioner · NPI 1831548247

Mr. Adrian Scott Thacker, FNP-C is a Nurse Practitioner in Duffield, Virginia. Qualified in 2015, 11 years ago. Practices with Revida Recovery Centers PC, a 29-clinician group. Licensed in Virginia.

Years since qualifying
11
Licensed in
VA
In the registry since
2016
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

198 Ross Carter Blvd
Duffield, VA 24244-5117
Phone: (276) 690-7161
Fax: (276) 690-7246
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024173601 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024173601 (VA)
Addiction (Substance Use Disorder) Registered Nurse Taxonomy 163WA0400X · Licence 0024173601 (VA)

Record details

NPI number1831548247
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 7, 2016
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing addressPo Box 2582, Wise, VA 24293-2582

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Revida Recovery Centers Pc — 29 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Duffield