ROCK CREEK PEDIATRICS LLC
NPI 1073397485
Pediatrics in Rockville, MD

Active since August 24, 2023CLIA 21D2289029 · Waiver
9715 MEDICAL CENTER DR STE 211, ROCKVILLE, MD 20850(202) 258-1025 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rock Creek Pediatrics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROCK CREEK PEDIATRICS LLC (NPI 1073397485) is a healthcare organization registered as a pediatrics in Rockville, Maryland and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through September 4, 2027 and lists Julianne Faust Greene, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1073397485
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameROCK CREEK PEDIATRICS LLC
Location Address9715 MEDICAL CENTER DR STE 211Rockville, MD 20850-3320
Mailing Address12701 Brushwood TerPotomac, MD 20854-1003 · (202) 258-1025
Organization SubpartNo
Authorized OfficialJulianne Faust GreeneNurse Practitioner · (202) 258-1025
Enumeration DateAugust 24, 2023
NPPES CertifiedAugust 24, 2023
NPI 1073397485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
9715 MEDICAL CENTER DR STE 211, Rockville, MD 20850

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2289029

Rock Creek Pediatrics LLC · Rockville, MD
Active · expires Sep 4, 2027
CLIA Number21D2289029
Laboratory TypePhysician Office
Certificate Effective DateSeptember 5, 2025
Certificate Expiration DateSeptember 4, 2027
Laboratory DirectorKaren Lanni
Laboratory Phone(202) 258-1025
Laboratory LocationRock Creek Pediatrics LLC9715 Medical Center Dr Suite 211, Rockville, MD 20850
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
9715 MEDICAL CENTER DR STE 211
ROCKVILLE, MD 20850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rock Creek Pediatrics LLC's NPI number?

The NPI number for Rock Creek Pediatrics LLC is 1073397485. It was assigned to this organization in the NPPES registry on August 24, 2023.

Where is Rock Creek Pediatrics LLC located?

Rock Creek Pediatrics LLC is located at 9715 Medical Center Dr Ste 211, Rockville, MD 20850. The listed phone number is (202) 258-1025.

What is Rock Creek Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Rock Creek Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2289029) is associated with this NPI, valid through September 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rock Creek Pediatrics LLC was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.