Kids First Pediatrics of Stafford, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101226383 Issued in VA

Legal business name

KIDS FIRST PEDIATRICS OF STAFFORD, PC

Practice address

2765 Jefferson Davis Hwy Ste 201
Stafford, VA 22554-8331

Phone

(540) 288-8821

Fax

(540) 288-8875

NPI assigned

May 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Roxanne Allegretti, MDNPI 1760434492

Title

Owner

Phone

(540) 288-8821

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roxanne Allegretti, M.D.

  • Pediatrics Physician
  • Stafford, VA
  • NPI 1760434492
  NPD Authorized official
• Anna Krushinski, CRNP

  • Family Nurse Practitioner
  • Stafford, VA
  • NPI 1366873994
  NPD (past)

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1932545803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2165",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225552165",
            "telephone_number": "540-288-8821",
            "fax_number": "540-288-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 JEFFERSON DAVIS HWY STE 201",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548331",
            "telephone_number": "540-288-8821",
            "fax_number": "540-288-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS FIRST PEDIATRICS OF STAFFORD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "ALLEGRETTI",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-288-8821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101226383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760434492",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa C Keylor, LPC
• Galam Asheaque Khan, M.D
• Rida Khan
• Kharis Care Partners
• Kidmed Inc. (KidMed Stafford)
• Catherine Kim, PHARMD
• David Kim
• Michael K. Kim, M.D.
• Sun Hyun Kim, D.M.D
• Wan Sun Sun Kim, PHARM D

• Pediatrics Physician in Stafford, VA
• Providers in Stafford, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.