Organization Active NPI

Virginia Pediatric & Adolescent Center

  • Specialist
  • Springfield, VA
National Provider Identifier
1972711760
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
VIRGINIA PEDIATRIC & ADOLESCENT CENTER
Practice address
8316 Traford LN
Springfield, VA 22152-1654
Phone
(703) 569-8400
Fax
(703) 569-1182
NPI assigned
May 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rick Christensen
Title
Administrator
Phone
(703) 569-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

8316 Traford LN
Springfield, VA 22152-1654

Mailing address

8316 Traford LN
Springfield, VA 22152-1654
Phone (703) 569-8400

Other identifiers 2

IdentifierTypeStateIssuer
B939OtherCAREFIRST BCBS
90012OtherAETNA

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
49D0663445Virginia Pediatric & Adolescent Center8316 Traford Lane, Springfield, VA 22152ComplianceJan 2, 2027

National Provider Directory

National Provider Directory

Locations

8316 Traford Ln
West Springfield, VA 22152
Phone (703) 451-8990

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972711760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 TRAFORD LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521654",
            "telephone_number": "703-569-8400",
            "fax_number": "703-569-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 TRAFORD LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521654",
            "telephone_number": "703-569-8400",
            "fax_number": "703-569-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA PEDIATRIC & ADOLESCENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-569-8400"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "B939",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "90012",
            "state": null
        }
    ],
    "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 22, 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.