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CHANTILLY WELLNESS GROUP, LLC
NPI 1992541890
Nurse Practitioner - Pediatrics in Chantilly, VA

Active since July 01, 2024
4200A TECHNOLOGY CT, CHANTILLY, VA 20151(540) 709-1737(866) 611-3615 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chantilly Wellness Group, Llc NPPES

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

CHANTILLY WELLNESS GROUP, LLC (NPI 1992541890) is a healthcare organization registered as a pediatrics in Chantilly, Virginia and active in the NPI registry since July 2024. The organization lists Emily Derocco, Secretary, as its authorized official.

NPPES Registry Identity

NPI1992541890
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameCHANTILLY WELLNESS GROUP, LLC
Location Address4200A TECHNOLOGY CTChantilly, VA 20151-1214
Mailing Address4200a Technology CtChantilly, VA 20151-1214 · (540) 709-1737 · Fax (866) 611-3615
Phone(540) 709-1737
Fax(866) 611-3615
Organization SubpartNo
Authorized OfficialEmily DeroccoSecretary · (620) 504-2434
Enumeration DateJuly 1, 2024
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1992541890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
4200A TECHNOLOGY CT, Chantilly, VA 20151
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

DEROCCO HEALTH AND WELLNESS INC
Clinic/Center (Birthing)
4200A TECHNOLOGY CT
CHANTILLY, VA 20151
Fairfax County (620) 504-2434
DR. ERICA SUZANNE BULLOCK D.C.
Chiropractor
4200A TECHNOLOGY CT
CHANTILLY, VA 20151
Fairfax County (571) 528-9797
FRANCES SHARE RN IBCLC
Registered Nurse (Lactation Consultant)
4200A TECHNOLOGY CT
CHANTILLY, VA 20151
Fairfax County (571) 406-7705
DR. JASON MICHAEL BULLOCK D.C.
Chiropractor
4200A TECHNOLOGY CT
CHANTILLY, VA 20151
Fairfax County (571) 528-9796
MRS. NANCY E MCMILLEN CPM,LM
Midwife
4200A TECHNOLOGY CT
CHANTILLY, VA 20151
Fairfax County (703) 357-3808
VIRGINIA MIDWIFERY GROUP LLC
Midwife
4200A TECHNOLOGY CT
CHANTILLY, VA 20151
Fairfax County (540) 709-1737
NORTHERN VIRGINIA NATURAL BIRTH CENTER AND WELLNESS COMMUNITY
Clinic/Center (Birthing)
4200A TECHNOLOGY CT
CHANTILLY, VA 20151
Fairfax County (703) 357-3808
PREMIER BIRTH CENTER CHANTILLY LLC
Clinic/Center (Birthing)
4200A TECHNOLOGY CT
CHANTILLY, VA 20151
Fairfax County (240) 422-3889

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 Chantilly Wellness Group, LLC's NPI number?

The NPI number for Chantilly Wellness Group, LLC is 1992541890. It was assigned to this organization in the NPPES registry on July 1, 2024.

Where is Chantilly Wellness Group, LLC located?

Chantilly Wellness Group, LLC is located at 4200A Technology Ct, Chantilly, VA 20151. The listed phone number is (540) 709-1737.

What is Chantilly Wellness Group, LLC'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 Chantilly Wellness Group, LLC was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.