Chantilly Wellness Group, LLC
Chantilly Wellness Group, LLC is a healthcare organization registered as Pediatric Nurse Practitioner in Chantilly, VA, holding Type 2 (organization) NPI 1992541890 since 2024. The authorized official on file is Emily Derocco, Secretary.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1992541890 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Chantilly Wellness Group, LLC |
| Practice address | 4200A TECHNOLOGY CT, Chantilly, VA, 20151 |
| Phone | 5407091737 |
| Fax | 8666113615 |
| Enumeration date | 2024-07-01 |
| Last updated in NPPES | 2025-04-28 |
Authorized official
| Name | Emily Derocco |
|---|---|
| Title | Secretary |
| Phone | 6205042434 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology Physician | Secondary | — | — |
| 363LP0200X | Pediatric Nurse Practitioner | Primary | — | — |
Copy-ready billing details
Provider: Chantilly Wellness Group, LLC NPI: 1992541890 Taxonomy: 363LP0200X (Pediatric Nurse Practitioner) Address: 4200A TECHNOLOGY CT, Chantilly, VA, 20151
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497011159 | Northern Virginia Natural Birth Center and Wellness Community | Organization | Birthing Clinic/Center | Chantilly, VA |
| 1124381421 | Jason Bullock | Individual | Chiropractor | Chantilly, VA |
| 1073877874 | Erica Bullock | Individual | Chiropractor | Chantilly, VA |
| 1730693763 | Sharon Hamon-Boomer | Individual | Midwife | Chantilly, VA |
| 1114435013 | Frances Share | Individual | Lactation Consultant (Registered Nurse) | Chantilly, VA |
| 1225539406 | Nancy Mcmillen | Individual | Midwife | Chantilly, VA |
| 1558865899 | Premier Birth Center Chantilly LLC | Organization | Birthing Clinic/Center | Chantilly, VA |
| 1922662725 | Premier Birth Center Chantilly LLC | Organization | Birthing Clinic/Center | Chantilly, VA |
Verify this record
Cross-check NPI 1992541890 against the authoritative CMS record: view Chantilly Wellness Group, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Chantilly Wellness Group, LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-04-28.