Individual provider Active NPI

Hae Eun Lim

  • Family Nurse Practitioner
  • Vienna, VA
National Provider Identifier
1093124737
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171633 Issued in VA
Practice address
337 Maple Ave E
Vienna, VA 22180-4717
Phone
(703) 938-2374
NPI assigned
Aug 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024171633 VA Primary

Addresses

Primary practice location

337 Maple Ave E
Vienna, VA 22180-4717

Mailing address

337 Maple Ave E
Vienna, VA 22180-4717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140930002397 DC Practitioner - Nurse Practitioner 5193945855 Reassigns benefits to 2 organizations
I20141027002188 VA Practitioner - Nurse Practitioner 5193945855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Virginia LLCGroup PAC ID 6709960891, 142 clinicians

Practice addresses (Care Compare)

1452 Chain Bridge Rd
MC Lean, VA 22101-3706
Phone (866) 389-2727

1636 Belle View Blvd
Alexandria, VA 22307-6531
Phone (866) 389-2727

337 Maple Ave E
Vienna, VA 22180-4717
Phone (866) 389-2727

9009 Silverbrook Rd
Fairfax Station, VA 22039-2607
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024171633VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care - Virginia PLLC Family CurrentSince Jul 16, 2025 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Sep 8, 2014 Accepting new patients

Locations

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

7205 Little River Tpke
Annandale, VA 22003
Phone (703) 256-4030

10250 Bristow Center Dr
Bristow, VA 20136
Phone (703) 369-1739

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

337 Maple Ave E
Vienna, VA 22180
Phone (703) 328-2188

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1093124737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 MAPLE AVE E",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 MAPLE AVE E",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804717",
            "telephone_number": "703-938-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "HAE EUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.