Organization Active NPI

Preferred Pediatrics at Snowden

  • Pediatrics Physician
  • Fredericksburg, VA
National Provider Identifier
1114945037
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PREFERRED PEDIATRICS AT SNOWDEN
Practice address
331 Park Hill Dr
Fredericksburg, VA 22401-3375
Phone
(540) 368-8091
Fax
(540) 368-8095
NPI assigned
Jul 18, 2006
Last updated
Feb 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Authorized official

Name
Jennifer Gilmore
Title
Office Manager
Phone
(540) 604-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

331 Park Hill Dr
Fredericksburg, VA 22401-3375

Mailing address

331 Park Hill Dr
Fredericksburg, VA 22401-3375
Phone (540) 368-8091

National Provider Directory

National Provider Directory

Locations

331 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 368-8091

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": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1114945037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 PARK HILL DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013375",
            "telephone_number": "540-368-8091",
            "fax_number": "540-368-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 PARK HILL DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013375",
            "telephone_number": "540-368-8091",
            "fax_number": "540-368-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PEDIATRICS AT SNOWDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-604-9500"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.