Organization Active NPI

Nelson Dermatology, PLLC

  • Dermatology Physician
  • Gainesville, VA
National Provider Identifier
1992005375
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
NELSON DERMATOLOGY, PLLC
Practice address
13289 Gateway Center Dr # 27
Gainesville, VA 20155-2989
Phone
(703) 373-9870
Fax
(703) 656-4777
NPI assigned
Nov 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

13289 Gateway Center Dr
#27
Gainesville, VA 20155
Phone (703) 373-9870

13289 Gateway Center Dr
Gainesville, VA 20155
Phone (703) 373-9870

8140 Ashton Ave
Ste 112
Manassas, VA 20109
Phone (703) 393-6366

7960 Donegan Dr
Ste 212
Manassas, VA 20109

7960 Donegan Dr
Ste 217
Manassas, VA 20109
Phone (703) 257-8090

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15737/brand/1/csg/1/fhir/r4

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.

Verify at the official NPI Registry.