NPIMap

Organization Active NPI

Guh Kids Mobile Medical Clinic Program, LLC

Doing business as MGUH-KMMC School Health Center at Anacostia SHS

  • Pediatrics Physician
  • Washington, DC
National Provider Identifier
1326502410
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GUH KIDS MOBILE MEDICAL CLINIC PROGRAM, LLC
Doing business as
MGUH-KMMC School Health Center at Anacostia SHS
Practice address
1601 16TH St SE
Washington, DC 20020-5503
Phone
(202) 724-5539
Fax
(866) 269-3011
NPI assigned
Jan 23, 2019
Last updated
Jan 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Stephanie Schneider
Title
VP
Phone
(702) 558-1403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1601 16TH St SE
Washington, DC 20020-5503

Mailing address

2000 15TH St N Ste 600
Arlington, VA 22201-2900
Phone (703) 558-1217

Other names 1

  • MGUH-KMMC School Health Center at Anacostia SHS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Guh-Kids Mobile Medical Clinic Program LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1326502410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 15TH ST N STE 600",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012900",
            "telephone_number": "703-558-1217",
            "fax_number": "703-558-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 16TH ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205503",
            "telephone_number": "202-724-5539",
            "fax_number": "866-269-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUH KIDS MOBILE MEDICAL CLINIC PROGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "702-558-1403"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MGUH-KMMC School Health Center at Anacostia SHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.