Virginia Svidro Nelson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101037467 Issued in VA

Practice address

2002 Wakefield Ave
Petersburg, VA 23805-2112

Phone

(804) 862-6186

Fax

(804) 862-6276

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306933932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 SOUTHMOOR RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232343753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 WAKEFIELD AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052112",
            "telephone_number": "804-862-6186",
            "fax_number": "804-862-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "VIRGINIA",
        "middle_name": "SVIDRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101037467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20108",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sajid Naveed, MD
• Juliana Naw
• Craig Edward Nelson, O.T.R
• Sarah K. D. Nelson, M.S. CCC-SLP
• Sharon Marie Nelson, LCSW
• New Beginning in-Home Care
• New Beginnings 2 Life LLC
• New Horizons Family Care PLLC
• New Journeys LLC
• Next Level Crisis LLC

• Pediatrics Physician in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.