OrganizationActive
Advanced Pediatrics PLLC
NPI 1962686865 · Pediatrics Physician · Vienna, VA
Advanced Pediatrics PLLC is a Pediatrics Physician organization in Vienna, VA (NPI 1962686865).
Provider details
- NPI number
- 1962686865
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Jackson, Office Manager(703) 938-5555
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
100 East St Se
Suite 301
Vienna, VA 22180-4800
Phone: (703) 938-5555
Fax: (703) 319-8580
Street-level locationGet directions
Mailing address
100 East St Se
Vienna, VA 22180-4800
Registry dates
- Enumerated
- 2007-12-27
- Last updated
- 2007-12-27
Frequently asked questions
- What is Advanced Pediatrics PLLC's NPI number?
- Advanced Pediatrics PLLC's National Provider Identifier (NPI) is 1962686865, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Pediatrics PLLC?
- Advanced Pediatrics PLLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Pediatrics PLLC located?
- Advanced Pediatrics PLLC's practice location on file with NPPES is 100 East St Se, Vienna, VA 22180-4800.
- What is Advanced Pediatrics PLLC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Pediatrics PLLC is (703) 938-5555.
- Who is the authorized official for Advanced Pediatrics PLLC?
- The authorized official listed on Advanced Pediatrics PLLC's NPPES record is Lisa Jackson, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Pediatrics PLLC's NPI active?
- Yes — Advanced Pediatrics PLLC's NPI (1962686865) is active in the NPPES registry as of the last update on 2007-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.