Active NPI
Dana Witmer, MD
- Pediatrics Physician
- Centreville, VA
National Provider Identifier
1316652522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101266055
- Practice address
- 14631 Lee Hwy Ste 313
Centreville, VA 20121-5834 - Phone
- (703) 650-9099
- NPI assigned
- Jan 23, 2023
- Last updated
- Jan 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101266055 | VA | Primary |
Addresses
Primary practice location
14631 Lee Hwy Ste 313
Centreville, VA 20121-5834
Mailing address
4206 Middle Ridge Dr
Fairfax, VA 22033-3211
Phone (703) 826-3915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101266055 | VA | MD | Pediatrics Physician |
Interoperability endpoints
- https://api.platform.athenahealth.com/24525/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1316652522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4206 MIDDLE RIDGE DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333211",
"telephone_number": "703-826-3915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14631 LEE HWY STE 313",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201215834",
"telephone_number": "703-650-9099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITMER",
"first_name": "DANA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101266055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centreville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.