Active NPI
Childrens National Specialist of Virginia LLC
- Pediatrics Physician
- Fairfax, VA
National Provider Identifier
1639304918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- HFD01-0208
- Legal business name
- CHILDRENS NATIONAL SPECIALIST OF VIRGINIA LLC
- Practice address
- 3023 Hamaker Court
Suite 500
Fairfax, VA 22031 - Phone
- (202) 476-6284
- NPI assigned
- May 15, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Susan Pfennig
- Title
- Manager
- Phone
- (202) 476-4447
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | HFD01-0208 | DC | Primary |
Addresses
Primary practice location
3023 Hamaker Court
Suite 500
Fairfax, VA 22031
Mailing address
PO Box 17507
Baltimore, MD 21297-0483
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Washington, DC
- NPI 1124499686
-
- Hospitalist Physician
- Washington, DC
- NPI 1942371117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255564800000",
"number": "1639304918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17507",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212970483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3023 HAMAKER COURT",
"address_2": "SUITE 500",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22031",
"telephone_number": "202-476-6284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS NATIONAL SPECIALIST OF VIRGINIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-15",
"last_updated": "2009-10-15",
"status": "A",
"authorized_official_last_name": "PFENNIG",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "202-476-4447",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "DC",
"license": "HFD01-0208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.