Mimi Hoang Phan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024176132 Issued in VA

Practice address

400 S Maple Ave Ste 200
Falls Church, VA 22046-4243

Phone

(703) 532-5436

Fax

(703) 532-3232

NPI assigned

Jan 23, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9909/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr C S Michael LLC

  • Internal Medicine Physician
  • Alexandria, VA
  • NPI 1073614343
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1083178099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 OAK STREET",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30075",
            "telephone_number": "770-817-6070",
            "fax_number": "770-643-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MAPLE AVE STE 200",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464243",
            "telephone_number": "703-532-5436",
            "fax_number": "703-532-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "MIMI",
        "middle_name": "HOANG",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2025-06-12",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mphan63965@direct.virginiahospitalcenter.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LOINC 34133-9",
            "address_1": "400 S Maple Ave Ste 200",
            "city": "Falls Church",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220464243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "missmphan@gmail.com",
            "affiliation": "N",
            "endpointDescription": "personal email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "250 Oak Street",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Pham, PHARM.D.
• Tri Minh Pham, MD
• Phamfirst Clinic
• Dianna Phan, D.C.
• Elizabeth Vu Phan, D.O.
• Dean J Phass, DDS
• Sophia C Phass, DDS
• Aruna Phayal, MD
• Emma Phillips, MSPAS, PA-C
• Laura Phillips, LCSW

• Family Nurse Practitioner in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.