Organization Active NPI

Skin Deep Concierge Medicine LLC

  • Dermatology Physician
  • Warrenton, VA
National Provider Identifier
1609759752
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SKIN DEEP CONCIERGE MEDICINE LLC
Practice address
225 Oak Springs Dr Ste 102
Warrenton, VA 20186-2186
Phone
(540) 935-4449
Fax
(540) 347-4444
NPI assigned
Jul 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Heather Renee Callahan, PANPI 1770039927
Title
Owner
Phone
(703) 338-2317

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
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

225 Oak Springs Dr Ste 102
Warrenton, VA 20186-2186

Mailing address

225 Oak Springs Dr Ste 102
Warrenton, VA 20186-2186
Phone (540) 935-4449

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2327662Skin Deep Concierge Medicine225 Oak Springs Drive, Suite 102, Warrenton, VA 20186Provider-performed microscopyJul 27, 2027

National Provider Directory

National Provider Directory

Locations

225 Oak Springs Dr
Ste 102
Warrenton, VA 20186
Phone (540) 347-0274

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1609759752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 OAK SPRINGS DR STE 102",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862186",
            "telephone_number": "540-935-4449",
            "fax_number": "540-347-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 OAK SPRINGS DR STE 102",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862186",
            "telephone_number": "540-935-4449",
            "fax_number": "540-347-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN DEEP CONCIERGE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-338-2317",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.