DR. LAURA JANE VIDIS DO
NPI 1992382030
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Q: What is Laura Vidis's NPI number?

The NPI number for Laura Vidis is 1992382030. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Q: What is Laura Vidis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Laura Vidis was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2021PECOS Enrolled

1215 LEE ST # 800904, CHARLOTTESVILLE, VA 22908(434) 924-1946(434) 924-9492 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 23, 2025, Mar 25, 2021 (2 updates tracked since 2021).

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About Dr. Laura Jane Vidis Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAURA JANE VIDIS DO (NPI 1992382030) is an individual student in an organized health care education/training program in Charlottesville, Virginia, licensed in Virginia (0102209133) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Pacific Nw Un Of Hs, Col Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1992382030

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. LAURA JANE VIDISCredential: DO

Location Address1215 LEE ST # 800904Charlottesville, VA 22908-0816

Mailing Address1215 Lee St # 800904Charlottesville, VA 22908-0816 · (434) 924-1946 · Fax (434) 924-9492

Phone(434) 924-1946

Fax(434) 924-9492

Sole ProprietorNo

Medical School CMSPacific Nw Un Of Hs, Col Of Osteopathic MedicineGraduated 2021

Enumeration DateMarch 25, 2021

Last NPPES UpdateJune 23, 20252 updates tracked since enumeration

NPPES CertifiedJune 23, 2025

✔ NPI 1992382030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in VA · 0102209133

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1215 LEE ST # 800904, Charlottesville, VA 22908

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Laura Jane Vidis Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810399383

PECOS Enrollment IDI20260612003284

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEIDI VAUGHAN MD

General Practice