NPIMap

Organization Active NPI

Fairfax Neonatal Associates, P.C.

Doing business as Pediatric and Adolescent Sleep Center

  • Pediatric Sleep Medicine Physician
  • Fairfax, VA
National Provider Identifier
1679819296
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sleep Medicine PhysicianTaxonomy code 2080S0012X
License
0101234661 Issued in VA
Legal business name
FAIRFAX NEONATAL ASSOCIATES, P.C.
Doing business as
Pediatric and Adolescent Sleep Center
Practice address
2730-D Prosperity Avenue
Fairfax, VA 22031
Phone
(703) 226-2290
Fax
(703) 226-2291
NPI assigned
Dec 31, 2012
Last updated
Dec 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
Dr. Glenna B Winnie, MDNPI 1023106408
Title
Director
Phone
(703) 226-2290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Sleep Medicine Physician 2080S0012X 0101234661 VA Primary

Addresses

Primary practice location

2730-D Prosperity Avenue
Fairfax, VA 22031

Mailing address

2730-D Prosperity Avenue
Fairfax, VA 22031
Phone (703) 226-2290

Other names 1

  • Pediatric and Adolescent Sleep Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Janet K Hilliard DO6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

2730 Prosperity Ave
Ste D
Fairfax, VA 22031
Phone (703) 226-2290

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1679819296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730-D PROSPERITY AVENUE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-226-2290",
            "fax_number": "703-226-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730-D PROSPERITY AVENUE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-226-2290",
            "fax_number": "703-226-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX NEONATAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "WINNIE",
        "authorized_official_first_name": "GLENNA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-226-2290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "VA",
            "license": "0101234661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric and Adolescent Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 31, 2012; 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.