Active NPI
Nimali E Fernando, M.D.
- Pediatrics Physician
- Spotsylvania, VA
National Provider Identifier
1780670075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101237959
- Practice address
- 10482 Georgetown Dr
Spotsylvania, VA 22553-1748 - Phone
- (540) 369-3316
- Fax
- (540) 369-3317
- NPI assigned
- Sep 22, 2005
- Last updated
- Nov 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101237959 | VA | Primary |
Addresses
Primary practice location
10482 Georgetown Dr
Spotsylvania, VA 22553-1748
Mailing address
10482 Georgetown Dr
Spotsylvania, VA 22553-1748
Phone (540) 369-3316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- https://api.platform.athenahealth.com/7668/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1780670075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10482 GEORGETOWN DR",
"city": "SPOTSYLVANIA",
"state": "VA",
"postal_code": "225531748",
"telephone_number": "540-369-3316",
"fax_number": "540-369-3317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10482 GEORGETOWN DR",
"city": "SPOTSYLVANIA",
"state": "VA",
"postal_code": "225531748",
"telephone_number": "540-369-3316",
"fax_number": "540-369-3317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDO",
"first_name": "NIMALI",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-22",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101237959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spotsylvania, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.