STEP UP PEDIATRIC AND ADOLESCENT WELLNESS CENTER, PLLC (NPI# 1790247914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790247914 |
| Entity Type | Organization |
| Organization Name | STEP UP PEDIATRIC AND ADOLESCENT WELLNESS CENTER, PLLC |
| Practice Address |
500 Albemarle Sq Charlottesville VA 22901-7405 |
| Mailing Address |
Po Box 843 Crozet VA 22932-0801 |
| Practice Telephone | 3367697920 |
| Practice Fax Number | 3367658605 |
| Mailing Telephone | 3367697920 |
| Mailing Fax Number | 3367658605 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | LETICIA HELLEBY-HARDY (M.D.) |
| Authorized Official Telephone | 3367697920 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
500 ALBEMARLE SQ |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22901-7405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306946405 | Erin Tibbs Farmer | Specialist/Technologist | 500 Albemarle Sq, Charlottesville, VA 22901 | 2006-09-25 |
| 1194365445 | Acac Health, LLC | Physical Therapist | 500 Albemarle Sq, Charlottesville, VA 22901-7405 | 2020-01-14 |
| 1962064089 | Atlantic Coast Athletic Clubs of Virginia, Inc | Clinic/Center | 500 Albemarle Sq, Charlottesville, VA 22901-7405 | 2019-06-29 |
| 1699238295 | Eleanor Garnett Mellen | Community Health Worker | 500 Albemarle Sq, Charlottesville, VA 22901-7405 | 2019-04-10 |
| 1174086789 | Pam Finney | Community Health Worker | 500 Albemarle Sq, Charlottesville, VA 22901-7405 | 2019-04-10 |
| 1871056465 | Leigh Mccready | Community Health Worker | 500 Albemarle Sq, Charlottesville, VA 22901-7405 | 2019-04-10 |
| 1770046377 | Teresa Harris | Community Health Worker | 500 Albemarle Sq, Charlottesville, VA 22901-7405 | 2019-04-10 |
| 1558827048 | Lauren Palmer | Registered Nurse | 500 Albemarle Sq, Charlottesville, VA 22901-7405 | 2019-02-20 |
| 1538657226 | Magen Caplinger | Community Health Worker | 500 Albemarle Sq, Charlottesville, VA 22901-7405 | 2018-04-27 |
| 1750821328 | Holly Downs | Massage Therapist | 500 Albemarle Sq, Charlottesville, VA 22901-7405 | 2017-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641501 | John Mccord | Speech-Language Pathologist | English Meadows, 1220 Crozet Ave, Crozet, VA 22901 | 2020-05-20 |
| 1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
| 1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
| 1558855346 | Dana Scott | Counselor | 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 | 2018-06-15 |
| 1043725336 | M Clinic, LLC | Internal Medicine | 406 Albemarle Square, Charlottesville, VA 22901 | 2017-12-08 |
| 1033620380 | Cheryl K Cottrell | Counselor | 875 East Rio Court, Charlottesville, VA 22901 | 2017-10-13 |
| 1114389640 | Heather Lorin Broach | Physical Therapist | 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 | 2016-03-23 |
| 1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
| 1083988778 | Melissa Stanley | Nurse Practitioner | 1356 River Rd, Charlottesville, VA 22901 | 2012-02-28 |
| 1982977633 | Jea Catherine Brickwedde | Specialist | 716 Rio Rd W, Fa, Charlottesville, VA 22901 | 2012-02-10 |
| Find all providers in zip 22901 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619363058 | Elizabeth Dexter-rice | Pediatrics | 1204 W Main Street Floor 6, Charlottesville, VA 22908-0816 | 2015-04-13 |
| 1578958526 | Kaitlin R. Blackard | Pediatrics | 1204 Main St Fl 6, Charlottesville, VA 22908-0816 | 2015-04-06 |
| 1215270558 | Erin Suzanne Kalan | Pediatrics | 111 Apple Tree Rd, Charlottesville, VA 22903-2906 | 2013-04-05 |
| 1760688105 | Valentina J. Intagliata | Pediatrics | 1105 W Main St Rm 1421, Charlottesville, VA 22903-2821 | 2007-06-22 |
| 1053526210 | Jason M Glover | Pediatrics | Lee Street 4th Floor, Charlottesville, VA 22908-0001 | 2007-05-11 |
| 1447329081 | Heather R. Quillian | Pediatrics | 2955 Ivy Rd Ste 303, Charlottesville, VA 22903-9353 | 2006-11-07 |
| 1841370566 | Kathryn A Cook | Pediatrics | 895 B Rio East Court, Charlottesville, VA 22901 | 2006-10-17 |
| 1538252291 | Eric Norman Rydland | Pediatrics | 1921 Commonwealth Dr, Charlottesville, VA 22901-2382 | 2006-10-02 |
| 1487681581 | James Linn Plews-ogan | Pediatrics | 1412 Sachem Pl, Suite 203, Charlottesville, VA 22901-2499 | 2006-06-26 |
| 1104869767 | Amy L. Wrentmore | Pediatrics | Lee St Fl 4, Charlottesville, VA 22908-0001 | 2006-06-13 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
Please comment or provide details below to improve the information on STEP UP PEDIATRIC AND ADOLESCENT WELLNESS CENTER, PLLC.
| 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.