Active NPI
Kim Doan Nguyen, L.AC
- Acupuncturist
- Falls Church, VA
National Provider Identifier
1083862304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0121000515
- Practice address
- 821 West Broad St.
Falls Church, VA 22046-3107 - Phone
- (703) 237-1114
- Fax
- (703) 237-7644
- NPI assigned
- Aug 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0121000515 | VA | Primary |
Addresses
Primary practice location
821 West Broad St.
Falls Church, VA 22046-3107
Mailing address
821 West Broad St.
Falls Church, VA 22046-3107
Phone (703) 237-1114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0121000515 | VA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1083862304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 WEST BROAD ST.",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220463107",
"telephone_number": "703-237-1114",
"fax_number": "703-237-7644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 WEST BROAD ST.",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220463107",
"telephone_number": "703-237-1114",
"fax_number": "703-237-7644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KIM",
"middle_name": "DOAN",
"name_prefix": "Ms.",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-28",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "VA",
"license": "0121000515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.