Glenna B. Winnie, MD

Primary specialty

Pediatric Sleep Medicine PhysicianTaxonomy code 2080S0012X

License

0101234661 Issued in VA

Practice address

205 E. Hirst Road
Suite 303
Purcellville, VA 20132

Phone

(703) 226-2290

Fax

(703) 289-1414

NPI assigned

Oct 10, 2006

Last updated

May 6, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fairfax Neonatal Associates, P.C.

  dba Pediatric and Adolescent Sleep Center

  • Pediatric Sleep Medicine Physician
  • Fairfax, VA
  • NPI 1679819296
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1023106408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730-B PROSPERITY AVENUE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-289-1400",
            "fax_number": "703-289-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E. HIRST ROAD",
            "address_2": "SUITE 303",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "20132",
            "telephone_number": "703-226-2290",
            "fax_number": "703-289-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINNIE",
        "first_name": "GLENNA",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "DC",
            "license": "MD34168",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "VA",
            "license": "0101234661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "565500501",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034817300",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "0885",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6739989",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Wilfong, P.T.
• Kristina Wilk, MS OTR/L
• Brittney Rena Williamson, M. ED.
• Wink Vision
• Amberleigh Ruth Winn, FNP-BC
• Sarah Margaret Wolbrom, DPT
• Kathleen Youngman, PMHNP-BC, FNP-C
• Allen Ali Zarrinfar, DDS

• Pediatrics Physician in Purcellville, VA
• Providers in Purcellville, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.