PURE PEDIATRICS & WELLNESS LLC NPI 1679496459

NPI Information

  • NPI: 1679496459
  • Provider Name: PURE PEDIATRICS & WELLNESS LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 893B HARRISON ST SE
    LEESBURG, VA
    ZIP 20175
  • Phone: (571) 308-2813

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NPI Details

PURE PEDIATRICS & WELLNESS LLC is a primary care clinic center in Leesburg, VA. PURE PEDIATRICS & WELLNESS LLC NPI is 1679496459. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

893B HARRISON ST SE
LEESBURG, VA
ZIP 20175-519
Phone: (571) 308-2813
Fax: (800) 305-8056

The provider's authorized official is Katie Anne Macdonald .
The authorized official title is Director and has the following contact phone number (240) 678-3397.

The enumeration date for this NPI number is 7/30/2026 and was last updated on 7/30/2026.

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
1174N00000XLactation Consultant, Non-RNNo
2202D00000XIntegrative MedicineNo
3208000000XPediatricsNo
4261QP2300XClinic/CenterPrimary CareYes
5363L00000XNurse PractitionerNo
6363LP0200XNurse PractitionerPediatricsNo

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: 11/21/2025

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