COMMUNITY CARE PEDIATRICS LLC NPI 1093096281

NPI Information

NPI: 1093096281
Provider Name: COMMUNITY CARE PEDIATRICS, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
9444 TANEY RD
103
MANASSAS, VA
ZIP 20110
Phone: (703) 365-0227
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COMMUNITY CARE PEDIATRICS, LLC is a family nurse practitioner in Manassas, VA. COMMUNITY CARE PEDIATRICS, LLC NPI is 1093096281. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9444 TANEY RD
103
MANASSAS, VA
ZIP 20110-933
Phone: (703) 365-0227
Fax: (703) 365-0332

The provider's authorized official is Jennifer Michelle Schmidt .
The authorized official title is Practitioner and has the following contact phone number (703) 365-0227.

The enumeration date for this NPI number is 9/1/2011 and was last updated on 9/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	0024166627	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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