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PEDIATRICS OF KEMPSVILLE, P.C.
NPI 1710072145
Pediatrics in Virginia Beach, VA

Active since October 03, 2006CLIA 49D0229237 · Waiver
1212 LAKE JAMES DR, SUITE C, VIRGINIA BEACH, VA 23464(757) 523-4589(757) 523-8920 Get Directions Write a Review

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

About Pediatrics Of Kempsville, P.c. NPPES

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

PEDIATRICS OF KEMPSVILLE, P.C. (NPI 1710072145) is a healthcare organization registered as a pediatrics in Virginia Beach, Virginia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 19, 2027 and lists Winfield Anthony Young, Director, as its authorized official.

NPPES Registry Identity

NPI1710072145
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRICS OF KEMPSVILLE, P.C.
Location Address1212 LAKE JAMES DR, SUITE CVirginia Beach, VA 23464-6779
Mailing Address1212 Lake James Dr, Suite CVirginia Beach, VA 23464-6779 · (757) 523-4589 · Fax (757) 523-8920
Phone(757) 523-4589
Fax(757) 523-8920
Organization SubpartNo
Authorized OfficialWinfield Anthony YoungDirector · (757) 523-4589
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710072145 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.
1212 LAKE JAMES DR, Virginia Beach, VA 23464
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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

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 49D0229237

Pediatrics Of Kempsville PC · Virginia Beach, VA
Active · expires May 19, 2027
CLIA Number49D0229237
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorWinfield Young
Laboratory Phone(757) 523-4589
Laboratory LocationPediatrics Of Kempsville PC1212 Lake James Dr - Suite C, Virginia Beach, VA 23464
CLIA data matches this NPI record on: Address 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.

DR. HOWARD R FELDMAN MD
Family Medicine (Geriatric Medicine)
1212 LAKE JAMES DR, F
VIRGINIA BEACH, VA 23464
Virginia Beach City (757) 424-6200
DR. MAXINE RUTH BEATTY MD
Pediatrics
1212 LAKE JAMES DR, STE C
VIRGINIA BEACH, VA 23464
Virginia Beach City (757) 523-4589
DR. DANIEL WALTER INGRAM DDS
Dentist
1212 LAKE JAMES DR, SUITE A
VIRGINIA BEACH, VA 23464
Virginia Beach City (757) 420-4214
DR. WINFIELD ANTHONY YOUNG MD
Pediatrics
1212 LAKE JAMES DR, STE C
VIRGINIA BEACH, VA 23464
Virginia Beach City (757) 523-4589
JENNIFER LARSON KURRLE NP
Nurse Practitioner (Family)
1212 LAKE JAMES DR, SUITE C
VIRGINIA BEACH, VA 23464
Virginia Beach City (757) 523-4589
CAROL ELAINE DOWNING MD
Pediatrics
1212 LAKE JAMES DR, SUITE C
VIRGINIA BEACH, VA 23464
Virginia Beach City (757) 523-4589
MRS. CYNTHIA N TRENT CPNP, AE-C
Nurse Practitioner (Pediatrics)
1212 LAKE JAMES DR, SUITE C
VIRGINIA BEACH, VA 23464
Virginia Beach City (757) 523-4589

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 Pediatrics Of Kempsville, P.C.'s NPI number?

The NPI number for Pediatrics Of Kempsville, P.C. is 1710072145. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Pediatrics Of Kempsville, P.C. located?

Pediatrics Of Kempsville, P.C. is located at 1212 Lake James Dr Suite C, Virginia Beach, VA 23464. The listed phone number is (757) 523-4589.

What is Pediatrics Of Kempsville, P.C.'s specialty?

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

Does Pediatrics Of Kempsville, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0229237) is associated with this NPI, valid through May 19, 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 Pediatrics Of Kempsville, 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 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.