Organization Active NPI

Concussion and Health Services LLC

  • Pediatric Sports Medicine Physician
  • Ashburn, VA
National Provider Identifier
1427900240
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sports Medicine PhysicianTaxonomy code 2080S0010X
Legal business name
CONCUSSION AND HEALTH SERVICES LLC
Practice address
44075 Pipeline PLZ Ste 300
Ashburn, VA 20147-5889
Phone
(703) 996-9186
Fax
(844) 751-2064
NPI assigned
Feb 12, 2026
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Jennifer A Baez, NURSE PRACTITIONERNPI 1710027784
Title
Owner
Phone
(703) 864-9988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Sports Medicine Physician 2080S0010X NU Primary

Addresses

Primary practice location

44075 Pipeline PLZ Ste 300
Ashburn, VA 20147-5889

Mailing address

12603 Builders Rd
Herndon, VA 20170-2924
Phone (703) 864-9988

National Provider Directory

National Provider Directory

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": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1427900240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12603 BUILDERS RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201702924",
            "telephone_number": "703-864-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44075 PIPELINE PLZ STE 300",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475889",
            "telephone_number": "703-996-9186",
            "fax_number": "844-751-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCUSSION AND HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "BAEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-864-9988",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.