1. Home
  2. Directory
  3. Virginia
  4. Ashburn
  5. Clinic Center
  6. NPI Profile

HEALTHY KIDS PEDIATRIC CENTER, P.C.
NPI 1619184132
Clinic/Center - Primary Care in Ashburn, VA

Active since May 16, 2007CLIA 49D1059999 · Waiver
44075 PIPELINE PLZ, SUITE 210, ASHBURN, VA 20147(703) 858-0121(703) 858-0710 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Healthy Kids Pediatric Center, P.c. NPPES

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

HEALTHY KIDS PEDIATRIC CENTER, P.C. (NPI 1619184132) is a healthcare organization registered as a primary care in Ashburn, Virginia and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through May 5, 2027 and lists Resa E Davis, President, as its authorized official.

NPPES Registry Identity

NPI1619184132
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHEALTHY KIDS PEDIATRIC CENTER, P.C.
Location Address44075 PIPELINE PLZ, SUITE 210Ashburn, VA 20147-5881
Mailing Address44075 Pipeline Plz, Suite 210Ashburn, VA 20147-5881 · (703) 858-0121 · Fax (703) 858-0710
Phone(703) 858-0121
Fax(703) 858-0710
Organization SubpartNo
Authorized OfficialResa E DavisPresident · (703) 858-0121
Enumeration DateMay 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619184132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in VA · 0101234951
44075 PIPELINE PLZ, Ashburn, VA 20147
Open in Google Maps ↗

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 49D1059999

Healthy Kids Pediatric Center, PC · Ashburn, VA
Active · expires May 5, 2027
CLIA Number49D1059999
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorResa E. Davis
Laboratory Phone(703) 858-0121
Laboratory LocationHealthy Kids Pediatric Center, PC44365 Premier Plaza #220, Ashburn, VA 20147
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

FS OPTOMETRY LLC
Point of Service
44075 PIPELINE PLZ, SUITE 205
ASHBURN, VA 20147
Loudoun County (703) 724-9948
FS OPTOMETRY LLC
Optometrist
44075 PIPELINE PLZ, SUITE 205
ASHBURN, VA 20147
Loudoun County (703) 724-9948
GULRUKH SALEEM INC
Internal Medicine (Rheumatology)
44075 PIPELINE PLZ, SUITE 200
ASHBURN, VA 20147
Loudoun County (703) 209-3732
DR. STEPHEN W HINKLE O.D.
Optometrist
44075 PIPELINE PLZ, SUITE 205
ASHBURN, VA 20147
Loudoun County (703) 724-9948
ALICIA BOYLES O.D.
Optometrist
44075 PIPELINE PLZ
ASHBURN, VA 20147
Loudoun County (703) 724-9948
DR. ANNE M. BLACKSTONE PT, PHD
Physical Therapist (Neurology)
44075 PIPELINE PLZ
ASHBURN, VA 20147
Loudoun County (703) 593-6090
XPERIANCARE CORPORATION
Durable Medical Equipment & Medical Supplies
44075 PIPELINE PLZ, SUITE 200
ASHBURN, VA 20147
Loudoun County (703) 338-0878

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 Healthy Kids Pediatric Center, P.C.'s NPI number?

The NPI number for Healthy Kids Pediatric Center, P.C. is 1619184132. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is Healthy Kids Pediatric Center, P.C. located?

Healthy Kids Pediatric Center, P.C. is located at 44075 Pipeline Plz Suite 210, Ashburn, VA 20147. The listed phone number is (703) 858-0121.

What is Healthy Kids Pediatric Center, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Healthy Kids Pediatric Center, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1059999) is associated with this NPI, valid through May 5, 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 Healthy Kids Pediatric Center, P.C. 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.