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Chantilly Wellness Group, LLC

Pediatric Nurse Practitioner in Chantilly, VA · enumerated 2024 · authorized official Emily Derocco, Secretary.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1992541890

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Registry record

Entity type Organization (Type 2)
Legal business name Chantilly Wellness Group, LLC
Practice address 4200a Technology Ct, Chantilly, VA, 20151
Fax (866) 611-3615
Enumeration date Jul 1, 2024
Last updated in NPPES Apr 28, 2025

Taxonomy & classification

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Emily Derocco
Title Secretary

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.

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Frequently asked questions

Where is Chantilly Wellness Group, LLC located?
The practice location on file with NPPES is in Chantilly, VA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-04-28. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-28.