Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Childrens National Specialist of Virginia LLC

Organization Pediatrics Physician · NPI 1639304918

Childrens National Specialist of Virginia LLC provides Pediatrics Physician services in Fairfax, Virginia. Licensed in District of Columbia. Registered with an NPI since 2009.

Licensed in
DC
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3023 Hamaker Ct Ste 500
Fairfax, VA 22031 Not confirmed with CMS for 16 years — call before visiting
Phone: (202) 476-6284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence HFD01-0208 (DC)

Record details

NPI number1639304918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Pfennig — Manager · (202) 476-4447
NPI enumeratedMay 15, 2009
Last updated in NPPESOctober 15, 2009
Mailing addressPo Box 17507, Baltimore, MD 21297-0483

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