Casa Pediatric Urgent Care

Primary specialty

Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X

Legal business name

CASA PEDIATRIC URGENT CARE

Practice address

14130 Noblewood PLZ Ste 105
Woodbridge, VA 22193-1465

Phone

(703) 485-0470

NPI assigned

Aug 8, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Nayra Butron

Title

Practice Manager

Phone

(571) 866-0963

Specialties & licenses 1

Addresses

Other names 1

• CASA PEDIATRIC URGENT CARE Doing business as

Locations

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1437980943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14130 NOBLEWOOD PLZ STE 105",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931465",
            "telephone_number": "703-485-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14130 NOBLEWOOD PLZ STE 105",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931465",
            "telephone_number": "703-485-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA PEDIATRIC URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "BUTRON",
        "authorized_official_first_name": "NAYRA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "571-866-0963",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CASA PEDIATRIC URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Desiree Michellette Carter
• Whitney Carter, LPC-R
• Zena R Carter, MPH, MSHS, PA-C
• Isabella Theresa Carunungan
• Monica Sue Carver, NP
• Casa Pediatrics
• Casa Wellness
• Martha Lissett Casamalhuapa, M.D.
• Carlyle Fairfax Hooff Casella, PA
• Casim LLC

• All providers in Woodbridge, VA
• Pediatric Emergency Medicine (Pediatrics) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.