Nurse Practitioner, Pediatrics
CHANTILLY WELLNESS GROUP, LLC
Identity confirmed via CMS NPPES · September 29, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1992541890 · enumerated 2024-07-01 · record updated 2025-04-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. EMILY DEROCCO DC, Secretary · (620) 504-2434
Addresses and phones
- Practice location 4200A TECHNOLOGY CT, CHANTILLY, VA, 20151-1214 (540) 709-1737 Fax (866) 611-3615 Google Maps Apple Maps OpenStreetMap
- Mailing address 4200A TECHNOLOGY CT, CHANTILLY, VA, 20151-1214 (540) 709-1737 Fax (866) 611-3615 Google Maps Apple Maps OpenStreetMap
Specialties
- Obstetrics & Gynecology 207V00000X
- Nurse Practitioner, Pediatrics 363LP0200X · Primary
In this directory
Locations and evidence
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Practice location
CHANTILLY, VA, 201511214
Accepting new patientsNot reportedCMS NPPES · September 29, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.