Organization Active NPI

Nova Dialysis Annandale LLC

Doing business as NOVA Dialysis Canterbury

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Richmond, VA
National Provider Identifier
1346001153
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NOVA DIALYSIS ANNANDALE LLC
Doing business as
NOVA Dialysis Canterbury
Practice address
1776 Cambridge Dr
Richmond, VA 23238-3203
Phone
(703) 642-0011
NPI assigned
Jan 18, 2024
Organization subpart
Yes
Parent organization
NOVA DIALYSIS ANNANDALE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Minessia Zarita Pearson
Title
Cfo
Phone
(301) 943-7808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1776 Cambridge Dr
Richmond, VA 23238-3203

Mailing address

9320 Annapolis Rd Ste 200
Lanham, MD 20706-3121
Phone (301) 577-1007

Other names 1

  • NOVA Dialysis Canterbury Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250117002589 VA Part A Provider - End-Stage Renal Disease Facility (ESRD) 2961835194 Practice locations: Richmond, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Nova Dialysis CanterburyCCN 492747
Ownership
Profit
Certified
Oct 31, 2024
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
9

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2298551Nova Dialysis Canterbury1776 Cambridge Drive, Richmond, VA 23238Certificate of waiverFeb 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Nova Dialysis Annandale LLC2 organizations share this tax ID, including this one
Part of
Nova Dialysis Annandale LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1346001153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 ANNAPOLIS RD STE 200",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063121",
            "telephone_number": "301-577-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 CAMBRIDGE DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232383203",
            "telephone_number": "703-642-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA DIALYSIS ANNANDALE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOVA DIALYSIS ANNANDALE LLC",
        "enumeration_date": "2024-01-18",
        "last_updated": "2025-09-02",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "MINESSIA",
        "authorized_official_middle_name": "ZARITA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-943-7808"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVA Dialysis Canterbury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.