Dana A Chung, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202009489 Issued in VA

Practice address

3539 S George Mason Dr Apt 124
Alexandria, VA 22302-1064

Phone

(804) 726-0833

NPI assigned

May 20, 2020

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1104449586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3539 S GEORGE MASON DR APT 124",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3539 S GEORGE MASON DR APT 124",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021064",
            "telephone_number": "804-726-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "DANA",
        "middle_name": "A",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202009489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dana.chung@hotmail.com",
            "affiliation": "N",
            "address_1": "3539 S George Mason Dr Apt 124",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223021064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Valerie Chrosniak, C.N.P.
• Chrysalis Chiropractic of Alexandria, Inc
• Mila B Chu, PT
• Sarah Chun
• Da-Ae Lynn Chung, RPH
• Elijah Charles Chung
• Sora Chung, MD
• Samar Chwairy
• Lindsey Cibelli, OTR/L
• Cara Cicero, PSY.D.

• All providers in Alexandria, VA
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.