Active NPI
Nelson Dermatology, PLLC
Doing business as Nelson Derm at Salon Lofts
- Dermatology Physician
- Gainesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- NELSON DERMATOLOGY, PLLC
- Doing business as
- Nelson Derm at Salon Lofts
- Practice address
- 13289 Gateway Center Dr # 27
Gainesville, VA 20155-2989 - Phone
- (703) 373-9870
- Fax
- (703) 656-4777
- NPI assigned
- Nov 1, 2010
- Last updated
- Feb 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennell Nelson, MD
- Title
- Owner
- Phone
- (703) 373-9870
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
13289 Gateway Center Dr # 27
Gainesville, VA 20155-2989
Mailing address
7371 Atlas Walk Way # 645
Gainesville, VA 20155-2992
Phone (703) 373-9870
Other practice location 1
3300 Gallows Rd
Falls Church, VA 22042-3300
Phone (703) 373-9870
Other practice location 2
400 Weldon St
Latrobe, PA 15650-1517
Phone (855) 337-6669
Other names 1
- Nelson Derm at Salon Lofts
National Provider Directory
National Provider DirectoryLocations
400 Weldon St
Latrobe, PA 15650
Phone (412) 224-2336
13289 Gateway Center Dr
Gainesville, VA 20155
Phone (703) 373-9870
13289 Gateway Center Dr
#27
Gainesville, VA 20155
Phone (703) 373-9870
7960 Donegan Dr
Ste 212
Manassas, VA 20109
8140 Ashton Ave
Ste 112
Manassas, VA 20109
Phone (703) 393-6366
8140 Ashton Ave
Ste 115
Manassas, VA 20109
Phone (703) 361-8284
Interoperability endpoints
- https://api.platform.athenahealth.com/15737/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Gainesville, VA
- NPI 1366510521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708473600000",
"number": "1992005375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7371 ATLAS WALK WAY # 645",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201552992",
"telephone_number": "703-373-9870",
"fax_number": "703-656-4777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13289 GATEWAY CENTER DR # 27",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201552989",
"telephone_number": "703-373-9870",
"fax_number": "703-656-4777"
}
],
"practiceLocations": [
{
"address_1": "3300 Gallows Rd",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220423300",
"country_code": "US",
"telephone_number": "703-373-9870",
"fax_number": "703-656-4777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Weldon St",
"address_purpose": "LOCATION",
"city": "Latrobe",
"state": "PA",
"postal_code": "156501517",
"country_code": "US",
"telephone_number": "855-337-6669",
"fax_number": "703-656-4777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NELSON DERMATOLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-01",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "JENNELL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-373-9870",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nelson Derm at Salon Lofts",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gainesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.