Healthcare Provider Details

I. General information

NPI: 1407754658
Provider Name (Legal Business Name): CHILDREN'S NATIONAL URGENT CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2026
Last Update Date: 11/03/2026
Certification Date: 11/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1709 3RD ST NE
WASHINGTON DC
20002-2125
US

IV. Provider business mailing address

1709 3RD ST NE
WASHINGTON DC
20002-2125
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-5000
  • Fax:
Mailing address:
  • Phone: 202-476-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PHILLICIA NELSON
Title or Position: VP, PAYOR FINANCIAL RELATIONS
Credential:
Phone: 301-572-6281