Individual provider Active NPI

Amy L Cecil

  • Pediatrics Physician
  • Alexandria, VA
National Provider Identifier
1427739705
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0024187650 Issued in VA
Practice address
6303 Little River Tpke Ste 300
Alexandria, VA 22312-5045
Phone
(703) 914-8989
Fax
(703) 914-5494
NPI assigned
Jul 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0024187650 VA Primary

Addresses

Primary practice location

6303 Little River Tpke Ste 300
Alexandria, VA 22312-5045

Mailing address

6303 Little River Tpke Ste 300
Alexandria, VA 22312-5045
Phone (703) 914-8989

Other practice location 1

10615 Braddock Rd Ste 200
Fairfax, VA 22032-2265
Phone (703) 691-4700

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

State licenses

LicenseStateTypeSpecialty
0024187650VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Medical Associates of Northern Virginia, P.C. Pediatrics PastSince Jul 31, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1427739705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 LITTLE RIVER TPKE STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125045",
            "telephone_number": "703-914-8989",
            "fax_number": "703-914-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 LITTLE RIVER TPKE STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125045",
            "telephone_number": "703-914-8989",
            "fax_number": "703-914-5494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10615 Braddock Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220322265",
            "country_code": "US",
            "telephone_number": "703-691-4700",
            "fax_number": "703-691-4791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CECIL",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0024187650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.