Individual provider Active NPI

Saadiya R. Jackson-Owens, M.D.

  • Pediatrics Physician
  • Springfield, VA
National Provider Identifier
1942390018
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101264591 Issued in VA
Practice address
6358 Springfield PLZ
Springfield, VA 22150-3431
Phone
(703) 644-5437
NPI assigned
Oct 12, 2006
Last updated
Oct 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101264591 VA Primary
Pediatrics Physician 208000000X MD036324 DC

Addresses

Primary practice location

6358 Springfield PLZ
Springfield, VA 22150-3431

Mailing address

4850 Eisenhower Ave Apt 220
Alexandria, VA 22304-7322

Other practice location 1

111 Michigan Ave NW
Emtc
Washington, DC 20010-2978
Phone (202) 476-4177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070305000673 DC Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 8628171048 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital CurrentSince Sep 12, 2010 Accepting new patients
Kidmed Inc. Current Accepting new patients
Children's Hospital Pediatrics CurrentSince Sep 12, 2010 Accepting new patients
Children's Hospital Current Accepting new patients
Trusted Doctors LLC Pediatrics Past Accepting new patients
PM Pediatrics of Virginia Pediatrics PastSince Oct 6, 2019 Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

8356 Bell Creek Rd
Mechanicsville, VA 23116
Phone (804) 559-5437

5021 Craig Rath Blvd
Bldg Iv
Midlothian, VA 23112
Phone (804) 422-5437

Interoperability endpoints

  • Direct secure messaging: saadiya.jacksonowens@hellopeds.eclinicaldirectplus.com
  • Direct secure messaging: saadiyajacksonowens@kidmed.allscriptsdirect.net

Organizations & group practices 6

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1942390018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 EISENHOWER AVE APT 220",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223047322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6358 SPRINGFIELD PLZ",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221503431",
            "telephone_number": "703-644-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Michigan Ave NW",
            "address_2": "EMTC",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200102978",
            "country_code": "US",
            "telephone_number": "202-476-4177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON-OWENS",
        "first_name": "SAADIYA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101264591",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD036324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.