Nicole Kirkwood Minor, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0102208480 Issued in VA

Practice address

7521 Right Flank Rd Ste 100
Mechanicsville, VA 23116-3871

Phone

(804) 559-0447

NPI assigned

Mar 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Alexis Kirkwood Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Richmond Pediatric Associates, Inc.

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1689788390
  NPD (past)

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1619555133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13934 STANLEY PARK DR",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230051283",
            "telephone_number": "804-754-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7521 RIGHT FLANK RD STE 100",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163871",
            "telephone_number": "804-559-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "NICOLE",
        "middle_name": "KIRKWOOD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102208480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "KIRKWOOD",
            "middle_name": "ALEXIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elaine Seltz Miller, LCSW
• Elana Marie Miller, LPC
• Pamela A Miller, N.P.
• Mindfulness Counseling Associates, LLC
• Federica Mingotti, L.AC.
• Suraj Mishra, MD
• Nicholet Mitchell
• Darius Mobarakeh, M.D.
• Linda Anne Modelfino, NP
• Sharmalee Mohabir

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.