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ALEXANDRIA LAKE RIDGE PEDIATRICS
NPI 1649215955
Pediatrics in Alexandria, VA

Active since June 19, 2006
1500 N BEAUREGARD ST STE 200, ALEXANDRIA, VA 22311(703) 436-1200(703) 499-9670 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 14, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Alexandria Lake Ridge Pediatrics NPPES

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

ALEXANDRIA LAKE RIDGE PEDIATRICS (NPI 1649215955) is a healthcare organization registered as a pediatrics in Alexandria, Virginia and active in the NPI registry since June 2006. The organization maintains 2 additional practice locations and lists Karen Hoffer, Clinical Administrtor, as its authorized official.

NPPES Registry Identity

NPI1649215955
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameALEXANDRIA LAKE RIDGE PEDIATRICS
Location Address1500 N BEAUREGARD ST STE 200Alexandria, VA 22311-1700
Mailing Address1500 N Beauregard St Ste 200Alexandria, VA 22311-1700 · (703) 436-1200 · Fax (703) 499-9670
Phone(703) 436-1200
Fax(703) 499-9670
Organization SubpartNo
Authorized OfficialKaren HofferClinical Administrtor · (703) 436-1200
Enumeration DateJune 19, 2006
Last NPPES UpdateApril 14, 20222 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
✔ NPI 1649215955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 101038289
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.
1500 N BEAUREGARD ST STE 200, Alexandria, VA 22311
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Secondary Practice Locations 2

Location 14500 Pond Way Ste 220Woodbridge, VA 22192-7825 · Phone (703) 436-1200 · Fax (703) 499-9670
Location 29010 Lorton Station Blvd Ste 100Lorton, VA 22079-4796 · Phone (703) 436-1200 · Fax (703) 499-9670

Other Identifiers 9

Medicaid6721001VA
Medicaid6738206VA
Medicaid010077036VA
Medicaid6737935VA
Medicaid6738214VA
Medicaid6704999VA
Medicaid6719694VA
Medicaid6733816VA
Medicaid6792896VA

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 6

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

DR. AMISHA ARMWOOD M.D.
Pediatrics
1500 N BEAUREGARD ST STE 200
ALEXANDRIA, VA 22311
Alexandria City (703) 436-1200
DR. JENNIFER M WALSH RN CPNP
Nurse Practitioner (Pediatrics)
1500 N BEAUREGARD ST STE 200
ALEXANDRIA, VA 22311
Alexandria City (703) 231-9059
KEITH FOOS DO
Pediatrics
1500 N BEAUREGARD ST STE 200
ALEXANDRIA, VA 22311
Alexandria City (352) 857-9638
JULIANA GARCIA ALVARADO MD
Pediatrics
1500 N BEAUREGARD ST STE 200
ALEXANDRIA, VA 22311
Alexandria City (703) 436-1200
CATHY SOUTHAMMAKOSANE M.D.
Pediatrics
1500 N BEAUREGARD ST STE 200
ALEXANDRIA, VA 22311
Alexandria City (703) 212-6600
STEPHANIE ANN STAVISH FNP
Nurse Practitioner (Family)
1500 N BEAUREGARD ST STE 200
ALEXANDRIA, VA 22311
Alexandria City (703) 436-1200

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 1649215955. It was assigned to this organization in the NPPES registry on June 19, 2006.

Where is Alexandria Lake Ridge Pediatrics located?

Alexandria Lake Ridge Pediatrics is located at 1500 N Beauregard St Ste 200, Alexandria, VA 22311. The listed phone number is (703) 436-1200.

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 April 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.