Organization Active NPI

Ward'S Corner Pediatrics

  • Pediatrics Physician
  • Norfolk, VA
National Provider Identifier
1437401015
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WARD'S CORNER PEDIATRICS
Practice address
7423 Granby St
Norfolk, VA 23505-3406
Phone
(757) 451-5000
NPI assigned
Oct 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Mrs. Amanda Earlene Avila
Title
Owner
Phone
(757) 779-1955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X VA Primary

Addresses

Primary practice location

7423 Granby St
Norfolk, VA 23505-3406

Mailing address

7423 Granby St
Norfolk, VA 23505-3406
Phone (757) 451-5000

Other identifiers 5

IdentifierTypeStateIssuer
1518144492MedicaidVA
1578512091MedicaidVA
006747558MedicaidVA
1811261332MedicaidVA
006705243MedicaidVA

National Provider Directory

National Provider Directory

Locations

7423 Granby St
Norfolk, VA 23505
Phone (757) 451-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6157/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

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": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1437401015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7423 GRANBY ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053406",
            "telephone_number": "757-451-5000",
            "fax_number": "757-451-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7423 GRANBY ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053406",
            "telephone_number": "757-451-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARD'S CORNER PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "EARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-779-1955",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518144492",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578512091",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006747558",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811261332",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006705243",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.