1. Home
  2. Directory
  3. Virginia
  4. Manassas
  5. Pediatrics
  6. NPI Profile

CRESTWOOD PEDIATRIC ASSOCIATES PC
NPI 1629034897
Pediatrics in Manassas, VA

Active since April 25, 2006CLIA Certified · 2 labs
10623 CRESTWOOD DR, MANASSAS, VA 20109(703) 361-7131(703) 330-2065 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crestwood Pediatric Associates Pc NPPES

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

CRESTWOOD PEDIATRIC ASSOCIATES PC (NPI 1629034897) is a healthcare organization registered as a pediatrics in Manassas, Virginia and active in the NPI registry since April 2006. The organization holds 2 active CLIA laboratory certificates and lists Sandy Mullins, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1629034897
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCRESTWOOD PEDIATRIC ASSOCIATES PC
Location Address10623 CRESTWOOD DRManassas, VA 20109-3433
Mailing Address10623 Crestwood DrManassas, VA 20109-3433 · (703) 361-7131 · Fax (703) 330-2065
Phone(703) 361-7131
Fax(703) 330-2065
Organization SubpartNo
Authorized OfficialSandy MullinsOffice Manager · (703) 361-7131
Enumeration DateApril 25, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629034897 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.
10623 CRESTWOOD DR, Manassas, VA 20109
Open in Google Maps ↗

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 2

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 49D0222970

Crestwood Pediatric Associates, PC · Manassas, VA
Active · expires Aug 31, 2026
CLIA Number49D0222970
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKatherine Abbott, MD
Laboratory Phone(703) 361-7131
Laboratory LocationCrestwood Pediatric Associates, PC10623 Crestwood Drive, Manassas, VA 20109
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2005528

Crestwood Pediatric Associates · Gainesville, VA
Active · expires Mar 29, 2028
CLIA Number49D2005528
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorKatherine Abbott MD
Laboratory Phone(703) 361-7131
Laboratory LocationCrestwood Pediatric Associates14535 John Marshall Highway - Suite 201, Gainesville, VA 20155
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 5

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

DR. JENNIFER THERESE BRADFORD D.O.
Pediatrics
10623 CRESTWOOD DR
MANASSAS, VA 20109
Prince William County (703) 361-7131
CHELSEA ABRIGO MSN, APRN, PNP-PC
Nurse Practitioner (Pediatrics)
10623 CRESTWOOD DR
MANASSAS, VA 20109
Prince William County (703) 361-7131
KATHERINE ABBOTT MD
Pediatrics (Adolescent Medicine)
10623 CRESTWOOD DR
MANASSAS, VA 20109
Prince William County (703) 361-7131
DR. SHEETAL AJMANI MD
Pediatrics
10623 CRESTWOOD DR
MANASSAS, VA 20109
Prince William County (703) 361-7131
ALENA JOY OATES CPNP-PC
Nurse Practitioner (Pediatrics)
10623 CRESTWOOD DR
MANASSAS, VA 20109
Prince William County (703) 361-7131

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 Crestwood Pediatric Associates PC's NPI number?

The NPI number for Crestwood Pediatric Associates PC is 1629034897. It was assigned to this organization in the NPPES registry on April 25, 2006.

Where is Crestwood Pediatric Associates PC located?

Crestwood Pediatric Associates PC is located at 10623 Crestwood Dr, Manassas, VA 20109. The listed phone number is (703) 361-7131.

What is Crestwood Pediatric Associates PC's specialty?

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

Does Crestwood Pediatric Associates PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Crestwood Pediatric Associates PC 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 5 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.