Organization Active NPI

Nimali Fernando MD PLC

Doing business as Yum Pediatrics

  • Pediatrics Physician
  • Spotsylvania, VA
National Provider Identifier
1295165298
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NIMALI FERNANDO MD PLC
Doing business as
Yum Pediatrics
Practice address
10482 Georgetown Dr
Spotsylvania, VA 22553-1748
Phone
(540) 369-3316
Fax
(540) 369-3317
NPI assigned
Nov 13, 2013
Last updated
Nov 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Nimali Fernando, MDNPI 1780670075
Title
Owner/Physician
Phone
(540) 369-3316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X VA Primary

Addresses

Primary practice location

10482 Georgetown Dr
Spotsylvania, VA 22553-1748

Mailing address

10482 Georgetown Dr
Spotsylvania, VA 22553-1748
Phone (540) 369-3316

Other names 1

  • Yum Pediatrics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1295165298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10482 GEORGETOWN DR",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531748",
            "telephone_number": "540-369-3316",
            "fax_number": "540-369-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10482 GEORGETOWN DR",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531748",
            "telephone_number": "540-369-3316",
            "fax_number": "540-369-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMALI FERNANDO MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "FERNANDO",
        "authorized_official_first_name": "NIMALI",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "540-369-3316",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yum Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spotsylvania, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.