HEALTHY KIDS PEDIATRIC CENTER, P.C. (NPI# 1619184132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619184132 |
| Entity Type | Organization |
| Organization Name | HEALTHY KIDS PEDIATRIC CENTER, P.C. |
| Practice Address |
44075 Pipeline Plz Suite 210 Ashburn VA 20147-5881 |
| Practice Telephone | 7038580121 |
| Practice Fax Number | 7038580710 |
| Mailing Telephone | 7038580121 |
| Mailing Fax Number | 7038580710 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RESA E DAVIS (PRESIDENT) |
| Authorized Official Telephone | 7038580121 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0101234951 | VA | Ambulatory Health Care Facilities |
| Street Address |
44075 PIPELINE PLZ SUITE 210 |
| City | ASHBURN |
| State | VA |
| Zip Code | 20147-5881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336160886 | Stephen W Hinkle | Optometrist | 44075 Pipeline Plz, Suite 205, Ashburn, VA 20147-5881 | 2006-07-21 |
| 1053799429 | Fs Optometry LLC | Preferred Provider Organization | 44075 Pipeline Plz, Suite 205, Ashburn, VA 20147-5889 | 2015-05-18 |
| 1811312242 | Lisa Alexander Jenkins | Social Worker | 44075 Pipeline Plz, Ste 220, Ashburn, VA 20147-5890 | 2014-02-21 |
| 1639405194 | Alicia Boyles | Optometrist | 44075 Pipeline Plz, Ashburn, VA 20147-5889 | 2009-10-19 |
| 1801066931 | Xperiancare Corporation | Durable Medical Equipment & Medical Supplies | 44075 Pipeline Plz, Suite 200, Ashburn, VA 20147-5890 | 2008-03-05 |
| 1629170154 | Resa Elizabeth Davis | Pediatrics | 44075 Pipeline Plz, Suite#210, Ashburn, VA 20147-5881 | 2006-09-04 |
| 1114936804 | Gulrukh Saleem Inc | Internal Medicine | 44075 Pipeline Plz, Suite 200, Ashburn, VA 20147-5881 | 2006-08-05 |
| 1104848050 | Fs Optometry LLC | Optometrist | 44075 Pipeline Plz, Suite 205, Ashburn, VA 20147-5881 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
| 1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
| 1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
| 1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
| 1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
| 1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
| 1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
| Find all providers in zip 20147 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942544770 | Capital Area Internal Medicine Inc | Clinic/Center | 44121 Harry Byrd Hwy Ste 250, Ashburn, VA 20147-5674 | 2012-11-16 |
| 1104198001 | Leesburg Medical Clinic, Pllc | Clinic/Center | 44121 Harry Byrd Hwy Ste 225, Ashburn, VA 20147-5672 | 2012-02-08 |
| 1649734773 | Chl | Clinic/Center | 235 E Washington Ave, Ashburn, GA 31714-5224 | 2019-01-23 |
| 1164754255 | Ashburn Sterling Doctors | Clinic/Center | 21785 Filigree Ct, Suite 215, Ashburn, VA 20147-6213 | 2010-02-01 |
| 1619992336 | Ashburn Family Healthcare, Pllc | Clinic/Center | 20600 Gordon Park Sq, Ste 130, Ashburn, VA 20147-3145 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626478 | Partners In Family Practice LLC | Clinic/Center | 430 Clairmont Ct Ste 123, Colonial Heights, VA 23834-1770 | 2020-10-09 |
| 1730790874 | Janice G. Sadaya-conda M.d., Pllc | Clinic/Center | 6128 Brandon Ave Ste 225, Springfield, VA 22150-2640 | 2020-08-12 |
| 1598375610 | Johnson Venture Management Solutions, Inc. | Clinic/Center | 17 Langley Blvd Bldg 1216, Hampton, VA 23681-2143 | 2020-08-04 |
| 1376161745 | Susan Minter Dnp Aprn LLC | Clinic/Center | 1234 Ridout Rd, La Crosse, VA 23950-2808 | 2020-07-11 |
| 1295359883 | Advanced Onsite Care LLC | Clinic/Center | 1045 Robert Welch Ln, Chesapeake, VA 23320-6770 | 2020-05-30 |
| 1962022392 | Gladeview Medical LLC | Clinic/Center | 279 Gladeview Dr, Fries, VA 24330-3936 | 2020-04-27 |
| 1578182986 | Libertas Leadership | Clinic/Center | 405 Sperryville Pike, Culpeper, VA 22701-2151 | 2020-04-15 |
| 1497395768 | Holistic Health and Healing Inc | Clinic/Center | 3690 Greensboro Road, Ridgeway, VA 24148 | 2020-01-14 |
| 1700426244 | Quad/med, LLC | Clinic/Center | 366 Draft Avenue, Stuarts Draft, VA 24477-2941 | 2020-01-13 |
| 1114560653 | Amy Beyer LLC | Clinic/Center | 2611 Thomas Jefferson Pkwy, Palmyra, VA 22963-5000 | 2019-10-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HEALTHY KIDS PEDIATRIC CENTER, P.C..
| 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.