Individual provider Active NPI

Viviana Karlovac Skansi, MD

  • Specialist
  • Chesapeake, VA
National Provider Identifier
1073513594
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101021023 Issued in VA
Practice address
1417 Battlefield Blvd N
Suite 260
Chesapeake, VA 23320-4516
Phone
(757) 436-0605
Fax
(757) 436-0023
NPI assigned
Jul 27, 2005
Last updated
Nov 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101021023 VA Primary

Addresses

Primary practice location

1417 Battlefield Blvd N
Suite 260
Chesapeake, VA 23320-4516

Mailing address

1417 Battlefield Blvd N
Suite 260
Chesapeake, VA 23320-4516
Phone (757) 436-0605

Other identifiers 3

IdentifierTypeStateIssuer
010161185MedicaidVA
147572OtherVABCBS
189251OtherCOM PSYCH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101021023VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy Resources of Norfolk LTD Past Accepting new patients
Ronald W. Atwood, M.D., P.C. PastSince Jan 1, 2007 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1073513594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 BATTLEFIELD BLVD N",
            "address_2": "SUITE 260",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204516",
            "telephone_number": "757-436-0605",
            "fax_number": "757-436-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 BATTLEFIELD BLVD N",
            "address_2": "SUITE 260",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204516",
            "telephone_number": "757-436-0605",
            "fax_number": "757-436-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKANSI",
        "first_name": "VIVIANA",
        "middle_name": "KARLOVAC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101021023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010161185",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "147572",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COM PSYCH",
            "identifier": "189251",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.