Individual provider Active NPI

Wendy Chickering Ault, M.D.

  • Pediatrics Physician
  • Manassas, VA
National Provider Identifier
1699885186
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101030742 Issued in VA
Practice address
9384 Forestwood LN Ste a
Manassas, VA 20110-4748
Phone
(703) 369-2999
Fax
(703) 369-3118
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101030742 VA Primary

Addresses

Primary practice location

9384 Forestwood LN Ste a
Manassas, VA 20110-4748

Mailing address

9384 Forestwood LN Ste a
Manassas, VA 20110-4748
Phone (703) 369-2999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150710000028 DC Practitioner - Pediatric Medicine 2668784224 Reassigns benefits to 1 organization
I20150731014971 VA Practitioner - Pediatric Medicine 2668784224 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101030742VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Pediatrics CurrentSince Jun 15, 2015 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 15, 2015 Accepting new patients
Privia Pediatric Medical Group of Georgia LLC Pediatrics Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
#4000
Arlington, VA 22203

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

8644 Sudley Rd
#220
Manassas, VA 20110

9384 Forestwood Ln
Ste A
Manassas, VA 20110
Phone (703) 369-2999

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699885186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9384 FORESTWOOD LN STE A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104748",
            "telephone_number": "703-369-2999",
            "fax_number": "703-369-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9384 FORESTWOOD LN STE A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104748",
            "telephone_number": "703-369-2999",
            "fax_number": "703-369-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AULT",
        "first_name": "WENDY",
        "middle_name": "CHICKERING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101030742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.