Individual provider Active NPI

Meghan Glassmacher Cromwell, CPNP

  • Pediatric Nurse Practitioner
  • Springfield, VA
National Provider Identifier
1831528991
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024173186 Issued in VA
Practice address
8316 Tradford Lane
Ste 1
Springfield, VA 22152-4329
Phone
(703) 569-8400
Fax
(703) 569-1182
NPI assigned
Nov 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024173186 VA Primary

Addresses

Primary practice location

8316 Tradford Lane
Ste 1
Springfield, VA 22152-4329

Mailing address

13901 Stonefield Dr
Clifton, VA 20124-2551
Phone (703) 927-5985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024173186VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax Neonatal Associates, PC Past Accepting new patients
Virginia Pediatric & Adolescent Center Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1831528991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 STONEFIELD DR",
            "city": "CLIFTON",
            "state": "VA",
            "postal_code": "201242551",
            "telephone_number": "703-927-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 TRADFORD LANE",
            "address_2": "STE 1",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221524329",
            "telephone_number": "703-569-8400",
            "fax_number": "703-569-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMWELL",
        "first_name": "MEGHAN",
        "middle_name": "GLASSMACHER",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2021-10-06",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024173186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.