Jennifer Elizabeth Gholson, NP

Primary specialty

Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X

License

0024182248 Issued in VA

Practice address

5021 Craig Rath Blvd
Midlothian, VA 23112-6243

Phone

(804) 592-5437

NPI assigned

Aug 19, 2021

Last updated

Aug 19, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• MCV Associated Physicians

  dba MCV Physicians

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1710959457
  Medicare reassignment NPD
• Kidmed Inc.

  dba KidMed West End

  • Urgent Care Clinic/Center
  • Glen Allen, VA
  • NPI 1407013121
  NPD (past)

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1710653878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10806 TIMONIUM DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311332",
            "telephone_number": "804-920-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 CRAIG RATH BLVD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231126243",
            "telephone_number": "804-592-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOLSON",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "VA",
            "license": "0024182248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Gerlitz, PT, DPT
• Kaihan Ghairatmal, SA
• Mohammad Raihan Ghairatmal, CERTIFIED SURGICAL A
• Michael Anwar Ghattas, RPH
• Misha Ghazarian, DDS
• Sarah S Gholson, M. DIV., LPC
• Cindy Gianfrancesco, OT
• Giant Food Stores, LLC (Martin's Pharmacy #6488)
• Giant Food Stores, LLC (Martin's Pharmacy #6438)
• Patrick John Gibbons, M.D.

• Critical Care Pediatric Nurse Practitioner in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Critical Care Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.