Premier Birth Center Chantilly LLC

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

PREMIER BIRTH CENTER CHANTILLY LLC

Practice address

4200A Technology CT
Chantilly, VA 20151-1214

Phone

(240) 422-3889

Fax

(866) 611-3615

NPI assigned

Mar 21, 2018

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

Title

Managing Member

Phone

(240) 422-3889

Specialties & licenses 2

Addresses

Tax ID family

Premier Birth Center Chantilly2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Premier Birth Center Chantilly LLC

  • Birthing Clinic/Center
  • Chantilly, VA
  • NPI 1922662725
  NPD tax ID

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1558865899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200A TECHNOLOGY CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511214",
            "telephone_number": "240-422-3889"
        },
        {
            "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": "240-422-3889",
            "fax_number": "866-611-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER BIRTH CENTER CHANTILLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "PEKIN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "240-422-3889",
        "authorized_official_credential": "CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "VA",
            "license": "0129000052",
            "primary": false
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Potomac Home Healthcare, LLC
• Nox Pozzo Di Borgo
• Rosy Pradhan, FNP-C
• Prasad Rekulapelli MD PC
• Victoria M Pratt, PH.D.
• Premier Birth Center Chantilly LLC
• Premier Pelvic Physical Therapy, PLLC
• Premise Health of Virginia Medical PC
• Autumn Brooke Prescott, CNP-PC
• Shannon Elaine Price, M.D.

• Birthing Clinic/Center in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Birthing Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.