NPIMap

Organization Active NPI

Step Up Pediatric and Adolescent Wellness Center, PLLC

  • Pediatrics Physician
  • Charlottesville, VA
National Provider Identifier
1790247914
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
STEP UP PEDIATRIC AND ADOLESCENT WELLNESS CENTER, PLLC
Practice address
500 Albemarle SQ
Charlottesville, VA 22901-7405
Phone
(336) 769-7920
Fax
(336) 765-8605
NPI assigned
Apr 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Leticia Helleby-Hardy, M.D.NPI 1528268851
Title
M.D.
Phone
(336) 769-7920

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
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

500 Albemarle SQ
Charlottesville, VA 22901-7405

Mailing address

PO Box 843
Crozet, VA 22932-0801
Phone (336) 769-7920

National Provider Directory

National Provider Directory

Locations

500 Albemarle Sq
Charlottesville, VA 22901
Phone (434) 878-3800

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": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1790247914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229320801",
            "telephone_number": "336-769-7920",
            "fax_number": "336-765-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALBEMARLE SQ",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229017405",
            "telephone_number": "336-769-7920",
            "fax_number": "336-765-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP UP PEDIATRIC AND ADOLESCENT WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "HELLEBY-HARDY",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "336-769-7920",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.