LAKE RIDGE OFFICE
NPI 1417053794
Pediatrics in Woodbridge, VA

Q: What is Alexandria Lake Ridge Pediatrics's NPI number?

The NPI number for Alexandria Lake Ridge Pediatrics is 1417053794. It was assigned to this organization in the NPPES registry on September 15, 2006. The provider is also known as Lake Ridge Office.

Q: What is Alexandria Lake Ridge Pediatrics's specialty?

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

Active since September 15, 2006

1990 OLD BRIDGE RD, SUITE 101, WOODBRIDGE, VA 22192(703) 212-6600(703) 931-0961 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Lake Ridge Office NPPES

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

LAKE RIDGE OFFICE (NPI 1417053794) is a healthcare organization registered as a pediatrics in Woodbridge, Virginia and active in the NPI registry since September 2006. The organization lists Deborah Weese, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1417053794

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameALEXANDRIA LAKE RIDGE PEDIATRICS

Location Address1990 OLD BRIDGE RD, SUITE 101Woodbridge, VA 22192-2383

Mailing Address4660 Kenmore Ave, Suite 500Alexandria, VA 22304-1313 · (703) 212-6600 · Fax (703) 931-0961

Phone(703) 212-6600

Fax(703) 931-0961

Organization SubpartNo

Authorized OfficialDeborah WeesePractice Administrator · (703) 212-6600

Enumeration DateSeptember 15, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1417053794 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.

1990 OLD BRIDGE RD, Woodbridge, VA 22192

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Other Names 1

Other NameLake Ridge Office

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

Other Providers at the Same Location NPPES 8

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

WENG KAY CHRISTINA CHEN FNP-BC

Nurse Practitioner (Family)

1990 OLD BRIDGE RD
WOODBRIDGE, VA 22192

Prince William County (703) 491-4131

JON M FARBER MD

Pediatrics

1990 OLD BRIDGE RD
WOODBRIDGE, VA 22192

Prince William County (703) 491-4131

ELEANOR COONEY RN CPNP

Nurse Practitioner (Pediatrics)

1990 OLD BRIDGE RD, STE 101 ALEXANDRIA LAKE RIDGE PEDIATRICS
WOODBRIDGE, VA 22192

Prince William County (703) 491-4131

CAROLYN SHEREDY RN CPNP

Nurse Practitioner (Pediatrics)

1990 OLD BRIDGE RD, STE 101 ALEXANDRIA LAKE RIDGE PEDIATRICS
WOODBRIDGE, VA 22192

Prince William County (703) 491-4131

ROBERT C DOST DDS PLLC

Dentist (General Practice)

1990 OLD BRIDGE RD, SUITE #301
LAKE RIDGE, VA 22192

Prince William County (703) 491-4040

ROBERT CHARLES DOST D.D.S.

Dentist (General Practice)

1990 OLD BRIDGE RD, SUITE 301
WOODBRIDGE, VA 22192

Prince William County (703) 491-4040

MICHAEL S CAPLAN MD

Pediatrics

1990 OLD BRIDGE RD, STE 101
WOODBRIDGE, VA 22192

Prince William County (703) 491-4131

JANE ELIZABETH HEIERTZ RN CPNP

Nurse Practitioner (Pediatrics)

1990 OLD BRIDGE RD, STE 101 ALL PEDIATRICS
WOODBRIDGE, VA 22192

Prince William County (703) 491-9946

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 Alexandria Lake Ridge Pediatrics's NPI number?

The NPI number for Alexandria Lake Ridge Pediatrics is 1417053794. It was assigned to this organization in the NPPES registry on September 15, 2006. The provider is also known as Lake Ridge Office.

Where is Alexandria Lake Ridge Pediatrics located?

Alexandria Lake Ridge Pediatrics is located at 1990 Old Bridge Rd Suite 101, Woodbridge, VA 22192. The listed phone number is (703) 212-6600.

What is Alexandria Lake Ridge Pediatrics's specialty?

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

When was this NPI record last updated?

The NPPES record for Alexandria Lake Ridge Pediatrics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.