Provider Demographics
NPI:1922180611
Name:ADVOCATES FOR CHILDREN
Entity Type:Organization
Organization Name:ADVOCATES FOR CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MUMPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-528-9075
Mailing Address - Street 1:2015 TATE SPRINGS RD
Mailing Address - Street 2:LOWER LEVEL SUITE 2
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-1111
Mailing Address - Country:US
Mailing Address - Phone:434-528-9075
Mailing Address - Fax:434-528-9078
Practice Address - Street 1:2015 TATE SPRINGS RD
Practice Address - Street 2:LOWER LEVEL STE 2
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1111
Practice Address - Country:US
Practice Address - Phone:434-528-9075
Practice Address - Fax:434-528-9078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101036534208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA192224OtherANTHEM# FOR DR.E.MUMPER
VA2720309OtherCIGNA# FOR DR.K.VAN DYKE
VA6701361Medicaid
VA1245294800OtherNPI# FOR DR. K. VAN DYKE
VA192230OtherANTHEM# FOR DR.K.VAN DYKE
VA1174604656OtherNPI# FOR K.MARKHAM,FNP
VA7246079OtherCIGNA# FOR DR.E.MUMPER
VA426519OtherSH# FOR DR. K.VAN DYKE
VA159498OtherSH# FOR DR. E.MUMPER
VA1871557959OtherNPI# FOR DR. E. MUMPER
VA1871557959OtherNPI# FOR DR. E. MUMPER
VAD80437Medicare UPIN