MRS. THERESA MCCORMACK PNP
NPI 1447611868
Nurse Practitioner - Pediatrics in Prince George, VA

Q: What is Theresa Mccormack's NPI number?

The NPI number for Theresa Mccormack is 1447611868. It was assigned to this individual provider in the NPPES registry on March 12, 2016.

Q: What is Theresa Mccormack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Mccormack was last updated on March 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 12, 2016

2035 WATERSIDE RD, SUITE 105, PRINCE GEORGE, VA 23875(804) 520-0002(804) 520-2259 Get Directions Write a Review

NPPES record last updated: March 12, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Theresa Mccormack Pnp NPPES

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

MRS. THERESA MCCORMACK PNP (NPI 1447611868) is an individual pediatrics provider in Prince George, Virginia, licensed in Virginia (0024165150) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1447611868

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. THERESA MCCORMACKCredential: PNP

Location Address2035 WATERSIDE RD, SUITE 105Prince George, VA 23875-1265

Mailing Address2035 Waterside Rd, Suite 105Prince George, VA 23875-1265 · (804) 520-0002 · Fax (804) 520-2259

Phone(804) 520-0002

Fax(804) 520-2259

Sole ProprietorNo

Enumeration DateMarch 12, 2016

✔ NPI 1447611868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in VA · 0024165150

2035 WATERSIDE RD, Prince George, VA 23875

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Other Providers at the Same Location NPPES 3

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

MELANEY A CALDWELL MD

Pediatrics

2035 WATERSIDE RD, SUITE 105
PRINCE GEORGE, VA 23875

Prince George County (804) 520-0002

MRS. FAFA ISABEL NYIRENDA

Pediatrics

2035 WATERSIDE RD, SUITE 105
PRINCE GEORGE, VA 23875

Prince George County (901) 491-3101

CALDWELL PEDIATRICS AND WELLNESS CENTER

Skilled Nursing Facility (Nursing Care, Pediatric)

2035 WATERSIDE RD, SUITE 105
PRINCE GEORGE, VA 23875

Prince George County (804) 520-0002

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 Theresa Mccormack's NPI number?

The NPI number for Theresa Mccormack is 1447611868. It was assigned to this individual provider in the NPPES registry on March 12, 2016.

Where is Theresa Mccormack located?

Theresa Mccormack practices at 2035 Waterside Rd Suite 105, Prince George, VA 23875. The listed phone number is (804) 520-0002.

What is Theresa Mccormack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Theresa Mccormack was last updated on March 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.