Organization Active NPI

Nelson Dermatology, PLLC

Doing business as Nelson Derm at Salon Lofts

  • 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
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, 2024By the provider in NPPES
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, MDNPI 1366510521
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)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

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

  • FHIR API: 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.

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.