Active NPI
Rock Creek Pediatrics LLC
- Pediatrics Physician
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- ROCK CREEK PEDIATRICS LLC
- Practice address
- 9715 Medical Center Dr Ste 211
Rockville, MD 20850-3320 - Phone
- (202) 258-1025
- NPI assigned
- Aug 24, 2023
- 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
- Julianne Faust Greene, CPNP
- Title
- Nurse Practitioner
- Phone
- (202) 258-1025
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
9715 Medical Center Dr Ste 211
Rockville, MD 20850-3320
Mailing address
12701 Brushwood Ter
Potomac, MD 20854-1003
Phone (202) 258-1025
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2289029 | Rock Creek Pediatrics LLC | Certificate of waiver | Sep 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
9715 Medical Center Dr
Ste 211
Rockville, MD 20850
Phone (202) 258-1025
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Nurse Practitioner
- Silver Spring, MD
- NPI 1407073760
-
- Pediatrics Physician
- Rockville, MD
- NPI 1902881311
-
- Pediatrics Physician
- Rockville, MD
- NPI 1932412764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692835200000",
"number": "1073397485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12701 BRUSHWOOD TER",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208541003",
"telephone_number": "202-258-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9715 MEDICAL CENTER DR STE 211",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503320",
"telephone_number": "202-258-1025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCK CREEK PEDIATRICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A",
"authorized_official_last_name": "GREENE",
"authorized_official_first_name": "JULIANNE",
"authorized_official_middle_name": "FAUST",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "202-258-1025",
"authorized_official_credential": "CPNP"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.