Organization Active NPI

Female Pelvic Medicine Institute of Virginia PC

  • Specialist
  • Midlothian, VA
National Provider Identifier
1356571616
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101230231 Issued in VA
Legal business name
FEMALE PELVIC MEDICINE INSTITUTE OF VIRGINIA PC
Doing business as
Intimate Wellness Institute
Practice address
2931 Polo Pkwy
Midlothian, VA 23113-1453
Phone
(804) 323-5040
Fax
(804) 323-5070
NPI assigned
Jul 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Authorized official

Name
Nathan L. Guerette, MDNPI 1942230040
Title
Owner
Phone
(804) 523-2533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101230231 VA Primary

Addresses

Primary practice location

2931 Polo Pkwy
Midlothian, VA 23113-1453

Mailing address

1467 Johnston Willis Drive
Richmond, VA 23235
Phone (804) 323-5040

Other names 1

  • Intimate Wellness Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100109000219 VA Part B Supplier - Clinic/Group Practice 6709927957 Receives reassigned benefits from 4 practitioners
Practice locations: Midlothian, VA

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
49D2107215Female Pelvic Medicine Institute of Virginia, the2931 Polo Parkway, Midlothian, VA 23113Certificate of waiverJun 26, 2028
49D2137274Female Pelvic Medicine Institute of Virginia, the2931 Polo Parkway, Midlothian, VA 23113Certificate of waiverSep 24, 2027

National Provider Directory

National Provider Directory

Locations

1401 Johnston Willis Dr
Ste 1100
North Chesterfield, VA 23235
Phone (804) 323-5040

1467 Johnston Willis Dr
Ste 1100
North Chesterfield, VA 23235
Phone (804) 523-2533

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1356571616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 JOHNSTON WILLIS DRIVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-323-5040",
            "fax_number": "804-323-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 POLO PKWY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131453",
            "telephone_number": "804-323-5040",
            "fax_number": "804-323-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEMALE PELVIC MEDICINE INSTITUTE OF VIRGINIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "GUERETTE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-523-2533",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101230231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intimate Wellness Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.