Active NPI
Casa Pediatrics II
- Pediatrics Physician
- Annandale, VA
National Provider Identifier
1639947369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- CASA PEDIATRICS II
- Practice address
- 3301 Woodburn Rd Ste 209
Annandale, VA 22003-7303 - Phone
- (703) 485-0470
- Fax
- (703) 986-0825
- NPI assigned
- Dec 12, 2023
- 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
- Nayra Butron
- Title
- Manager
- Phone
- (703) 485-0470
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
3301 Woodburn Rd Ste 209
Annandale, VA 22003-7303
Mailing address
3301 Woodburn Rd Ste 209
Annandale, VA 22003-7303
Phone (703) 485-0470
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2298324 | Casa Pediatrics II | Certificate of waiver | Jan 31, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Woodbridge, VA
- NPI 1912288515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702339200000",
"number": "1639947369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 WOODBURN RD STE 209",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220037303",
"telephone_number": "703-485-0470",
"fax_number": "703-986-0825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 WOODBURN RD STE 209",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220037303",
"telephone_number": "703-485-0470",
"fax_number": "703-986-0825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASA PEDIATRICS II",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-12",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A",
"authorized_official_last_name": "BUTRON",
"authorized_official_first_name": "NAYRA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "703-485-0470"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
- Care Advantage, Inc.
- Carebridge Home Health Care LLC
- Lincoln Esguerra Carillo, D.C.
- Carma Health Virginia LLC
- Julie Ann Carper, OTR/L
- Michael P Cassidy, MD
- Felix Davis Castro, M.D., FACC
- Heather Blackstock Causseaux, NP-C
- CCP Virginia Sleepy Hollow, LLC (Sleepy Hollow Health and Rehab)
- Cda Virginia, PLLC (Center for Dentofacial Aesthetics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.