NPIMap

Organization Active NPI

PM Pediatrics of Virginia

  • Urgent Care Clinic/Center
  • Springfield, VA
National Provider Identifier
1962902650
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PM PEDIATRICS OF VIRGINIA
Practice address
6358 Springfield PLZ
Springfield, VA 22150-3431
Phone
(703) 644-5437
Fax
(703) 644-6767
NPI assigned
Feb 19, 2018
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Kristen Hanly
Title
Director of RCM Operations
Phone
(516) 207-7919

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X VA
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

6358 Springfield PLZ
Springfield, VA 22150-3431

Mailing address

1 Hollow LN
New Hyde Park, NY 11042-1220
Phone (516) 869-0650

Other practice location 1

905 Herndon Pkwy
Herndon, VA 20170-5536
Phone (703) 437-5437

Other practice location 2

11056 Lee Hwy
Fairfax, VA 22030-5014
Phone (703) 552-5437

Other practice location 3

19800 Belmont Chase Dr Ste 110
Ashburn, VA 20147-3416
Phone (703) 723-6767

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2148066PM Pediatrics of Virginia6358 Springfield Plaza, Springfield, VA 22150Certificate of waiverMay 2, 2028
49D2161484PM Pediatrics of Virginia905 Herndon Parkway, Suite C-E, Herndon, VA 20170Certificate of waiverFeb 3, 2027

National Provider Directory

National Provider Directory

Locations

5992 Coral Ridge Dr
Unit B11
Coral Springs, FL 33076

19820 Century Blvd
Unit 5
Germantown, MD 20874
Phone (301) 528-5437

19800 Belmont Chase Dr
Ste 110
Ashburn, VA 20147
Phone (703) 723-6767

905 Herndon Pkwy
Herndon, VA 20170
Phone (703) 437-5437

6352 Springfield Plz
Springfield, VA 22150
Phone (703) 644-5437

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1962902650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421220",
            "telephone_number": "516-869-0650",
            "fax_number": "516-869-0655"
        },
        {
            "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",
            "fax_number": "703-644-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Herndon Pkwy",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201705536",
            "country_code": "US",
            "telephone_number": "703-437-5437",
            "fax_number": "703-437-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11056 Lee Hwy",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220305014",
            "country_code": "US",
            "telephone_number": "703-552-5437",
            "fax_number": "703-552-5436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19800 Belmont Chase Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201473416",
            "country_code": "US",
            "telephone_number": "703-723-6767",
            "fax_number": "703-723-5972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PM PEDIATRICS OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "HANLY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "DIRECTOR OF RCM OPERATIONS",
        "authorized_official_telephone_number": "516-207-7919"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "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 Aug 20, 2026; 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.