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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

S Michelle Thornblade, PA C

Physician Assistant in Waldorf, MD · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629079454

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Registry record

Entity type Individual (Type 1)
Name S Michelle Thornblade
Credential PA C
Sex Female
Practice address 3975 Saint Charles Pkwy, Waldorf, MD, 20602
Fax (301) 645-8696
Enumeration date Aug 2, 2005
Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License C0002969 (MD) Primary

Other identifiers

Identifier Type State Issuer
1421 Other CO LICENSE (EXPIRED)
PA02088 Other TX PA LICENSE (INACTIVE STAT

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify S Thornblade's NPI record?
Cross-check NPI 1629079454 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1629079454 active?
Yes, as of the latest NPPES snapshot, NPI 1629079454 is active (record last updated 2007-07-08).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.