THE PEDIATRIC CONNECTION, INC (NPI# 1396234985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396234985 |
| Entity Type | Organization |
| Organization Name | THE PEDIATRIC CONNECTION, INC |
| Other Organization Name | THRIVE SKILLED PEDIATRIC CARE |
| Practice Address |
11047 Pierson Drive, Suite N Fredericksburg VA 22408-2062 |
| Mailing Address |
701 Edgewater Dr Suite 300 Wakefield MA 01880-6242 |
| Practice Telephone | 8046754550 |
| Practice Fax Number | 5403694639 |
| Mailing Telephone | 7814864100 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2020-04-07 |
| Authorized Official Name | GREGORY A. SERRAO (CEO) |
| Authorized Official Telephone | 7814864100 |
| Is Organization Subpart | Y |
| Parent Organization Name | THRIVE SKILLED PEDIATRIC CARE, LLC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | Agencies | ||
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| The Pediatric Connection: A Thrive Skilled Pediatric Care Company | Doing Business As Name - Organization |
| Thrive Skilled Pediatric Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932224573 | The Pediatric Connection, Inc | Nursing Care | 1300 Semmes Ave, Richmond, VA 23224-2162 | 2007-03-20 |
| 1801911540 | The Pediatric Connection, Inc | Durable Medical Equipment & Medical Supplies | 199 Spotnap Road, Suite 6, Charlottesville, VA 22911-8827 | 2007-03-20 |
| 1841789435 | The Pediatric Connection, Inc | Respite Care | 11047 Pierson Drive, Suite N, Fredericksburg, VA 22408-2062 | 2018-05-09 |
| 1306961792 | The Pediatric Connection, Inc | Durable Medical Equipment & Medical Supplies | 1300 Semmes Ave, Richmond, VA 23224-2162 | 2007-03-21 |
| 1619092087 | The Pediatric Connection, Inc | Nursing Care | 199 Spotnap Road, Suite 6, Charlottesville, VA 22911-8827 | 2007-03-21 |
| Street Address |
11047 PIERSON DRIVE, SUITE N |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22408-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609370246 | The Pediatric Connection, Inc. | Durable Medical Equipment & Medical Supplies | 11047 Pierson Drive, Suite N, Fredericksburg, VA 22408-2062 | 2018-03-20 |
| 1841789435 | The Pediatric Connection, Inc | Respite Care | 11047 Pierson Drive, Suite N, Fredericksburg, VA 22408-2062 | 2018-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108340 | Embrace Foster Care, LLC | Foster Care Agency | 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408 | 2019-01-11 |
| 1730698689 | Raza N Syed | Driver | 12804 Willow Point Drive, Fredericksburg, VA 22408 | 2017-09-22 |
| 1184149122 | Eve Hope Pendletom | Driver | 2717 Francis Ct, Fredericksbrg, VA 22408 | 2017-08-10 |
| 1700316304 | Transcendent Truth Inc | Counselor | 2601 Wheatland Wood Drive, Fredericksburg, VA 22408 | 2017-06-15 |
| 1487047361 | Michele Neverdon | Counselor | 150 Olde Greenwich Dr Ste 211, Fredericksburg, VA 22408 | 2015-03-16 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1417355066 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4543 Empire Ct, Fredericksburg, VA 22408 | 2014-12-15 |
| 1154726123 | Md Wellness and Health Center | Internal Medicine | 10518 Spotsylvania Ave, Suite 102, Fredericksburg, VA 22408 | 2014-11-03 |
| 1023358595 | Joyce Catherine Corbin Moya | Social Worker | 19003 Main Street, Fredericksburg, VA 22408 | 2013-02-21 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| Find all providers in zip 22408 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194168294 | Anke Blaine | Registered Nurse | 2632 Salem Church Rd, Fredericksburg, VA 22407-6484 | 2013-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366057119 | Stephanie Keeling | Registered Nurse | 1223 Rowland Dr, Herndon, VA 20170-2430 | 2020-09-09 |
| 1639638273 | Brittani Jordan | Registered Nurse | 6171 Fawnlake Ct, New Kent, VA 23124-2977 | 2019-03-13 |
| 1013382837 | Carrie Shreve Entsminger | Registered Nurse | 11810 Murray Hill Dr, Midlothian, VA 23113-2342 | 2015-12-04 |
| 1245504083 | April Rose De Leon | Registered Nurse | 2503 E Little Creek Rd, Apt #5, Norfolk, VA 23518-3343 | 2012-02-24 |
| 1629341508 | Danielle Louise Henry | Registered Nurse | 4211 Heather Rd, Portsmouth, VA 23703-1621 | 2012-02-22 |
| 1801169784 | Karissa J Richardson | Registered Nurse | 826 Priscilla Ln, Chesapeake, VA 23322-3719 | 2012-02-22 |
| 1073886842 | April Gilbrech | Registered Nurse | 1103 Canopy Ct, Virginia Beach, VA 23455 | 2012-02-09 |
| 1225255938 | Janet Ann Williams-janas | Registered Nurse | 6419 Chapel View Rd, Clifton, VA 20124-1944 | 2007-04-20 |
| 1851515175 | The Pediatric Group, PC | Registered Nurse | 10527 Braddock Road, Fairfax, VA 22032 | 2007-04-11 |
| 1023232345 | The Pediatric Group, PC | Registered Nurse | 3914 Centreville Road, Chantilly, VA 20151 | 2007-04-11 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22408 |
Please comment or provide details below to improve the information on THE PEDIATRIC CONNECTION, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.