Virginia Midwifery Group LLC

Primary specialty

MidwifeTaxonomy code 176B00000X

Legal business name

VIRGINIA MIDWIFERY GROUP LLC

Practice address

4200A Technology CT
Chantilly, VA 20151-1214

Phone

(540) 709-1737

Fax

(866) 611-3615

NPI assigned

Mar 22, 2023

Organization subpart

No

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

Authorized official

Name

Kim Pekin, CPM, RN

Title

Member

Phone

(540) 709-1737

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1386347144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17232 PICKWICK DR",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323100",
            "telephone_number": "240-422-3889",
            "fax_number": "866-611-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200A TECHNOLOGY CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511214",
            "telephone_number": "540-709-1737",
            "fax_number": "866-611-3615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Premier Pl",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226024321",
            "country_code": "US",
            "telephone_number": "540-709-1737",
            "fax_number": "866-611-3615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIRGINIA MIDWIFERY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "PEKIN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "540-709-1737",
        "authorized_official_credential": "CPM, RN"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Midwife in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Midwife in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.