Casa Wellness

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

Legal business name

CASA WELLNESS

Practice address

14130 Noblewood PLZ Ste 301
Woodbridge, VA 22193-1467

Phone

(703) 485-0470

Fax

(703) 986-0825

NPI assigned

Jul 1, 2024

Organization subpart

No

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

Authorized official

Name

Nayra Butron

Title

Office Manager

Phone

(571) 866-0963

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1821833799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14130 NOBLEWOOD PLZ STE 301",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931467",
            "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": "14130 NOBLEWOOD PLZ STE 301",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931467",
            "telephone_number": "703-485-0470",
            "fax_number": "703-986-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "BUTRON",
        "authorized_official_first_name": "NAYRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "571-866-0963"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zena R Carter, MPH, MSHS, PA-C
• Isabella Theresa Carunungan
• Monica Sue Carver, NP
• Casa Pediatric Urgent Care
• Casa Pediatrics
• Martha Lissett Casamalhuapa, M.D.
• Carlyle Fairfax Hooff Casella, PA
• Casim LLC
• Sara A Castellano, BCBA
• Joseph Paul Cavallo, DDS

• All providers in Woodbridge, VA
• Developmental - Behavioral Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.