Active NPI
Mary Picardi, M.D.
- Specialist
- Virginia Beach, VA
National Provider Identifier
1902815616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101035697
- Practice address
- 1120 First Colonial Rd
Suite 100
Virginia Beach, VA 23454-2418 - Phone
- (757) 481-2333
- Fax
- (757) 481-1037
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0101035697 | VA | Primary |
Addresses
Primary practice location
1120 First Colonial Rd
Suite 100
Virginia Beach, VA 23454-2418
Mailing address
1120 First Colonial Rd
Suite 100
Virginia Beach, VA 23454-2418
Phone (757) 481-2333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5609275 | Medicaid | VA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101035697 | VA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902815616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 FIRST COLONIAL RD",
"address_2": "SUITE 100",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542418",
"telephone_number": "757-481-2333",
"fax_number": "757-481-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 FIRST COLONIAL RD",
"address_2": "SUITE 100",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542418",
"telephone_number": "757-481-2333",
"fax_number": "757-481-1037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICARDI",
"first_name": "MARY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101035697",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5609275",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.