OrganizationActive
Elden St. Pediatrics
NPI 1215091038 · Pediatrics Physician · Herndon, VA
Elden St. Pediatrics is a Pediatrics Physician organization in Herndon, VA (NPI 1215091038).
Provider details
- NPI number
- 1215091038
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Millicent Tetteyfio, Rn.ofc.mgr(703) 471-6996
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
110 Elden St
Suite #d
Herndon, VA 20170-4891
Phone: (703) 471-6996
Fax: (703) 435-7765
Street-level locationGet directions
Mailing address
110 Elden St
Herndon, VA 20170-4891
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Elden St. Pediatrics's NPI number?
- Elden St. Pediatrics's National Provider Identifier (NPI) is 1215091038, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elden St. Pediatrics?
- Elden St. Pediatrics is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Elden St. Pediatrics located?
- Elden St. Pediatrics's practice location on file with NPPES is 110 Elden St, Herndon, VA 20170-4891.
- What is Elden St. Pediatrics's phone number?
- The practice phone number listed in the NPPES registry for Elden St. Pediatrics is (703) 471-6996.
- Who is the authorized official for Elden St. Pediatrics?
- The authorized official listed on Elden St. Pediatrics's NPPES record is Millicent Tetteyfio, Rn.ofc.mgr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elden St. Pediatrics's NPI active?
- Yes — Elden St. Pediatrics's NPI (1215091038) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.