Eunju Yang Hernandez, CRNP-FAMILY

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024169510 Issued in VA

Practice address

46165 Westlake Dr., Suite 120
Potomac Falls, VA 20165-5872

Phone

(703) 444-3302

Fax

(703) 444-3240

NPI assigned

Oct 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC, VA3 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 3

Specialty

Nurse Practitioner

Education

Johns Hopkins University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2287/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: eunju.hernandez.1@8042.direct.athenahealth.com

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC, MD

  Medicare reassignment Care Compare group
• Nova Physician Wellness Center PLLC

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1215307400
  NPD (past)
• Rozalyn Hester Paschal MD PA

  • Pediatrics Physician
  • Miami, FL
  • NPI 1639387525
  NPD (past)
• Vasant Datta MD LLC

  • Primary Care Clinic/Center
  • Hagerstown, MD
  • NPI 1790860898
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Inova Health Care Services

  • General Acute Care Hospital
  • Alexandria, VA
  • NPI 1255684460
  Care Compare affiliation

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1114202058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 SUNSET HILLS RD",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46165 WESTLAKE DR., SUITE 120",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655872",
            "telephone_number": "703-444-3302",
            "fax_number": "703-444-3240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224-D Cornwall St., NW, Suite 301",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201762700",
            "country_code": "US",
            "telephone_number": "703-779-0700",
            "fax_number": "703-779-1398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "EUNJU",
        "middle_name": "YANG",
        "name_prefix": "Mrs.",
        "credential": "CRNP-FAMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169510",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9466599",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J Galland, DO
• Amanda J Gibbons, M.A., CAGS, NCSP
• Gita Goradia
• Faisal Hasan, FAISAL HASAN
• Hawa Management Group LLC
• Linda Edwards Himler, AUD, CCC-A, FAAA/ABA
• Ifeoma Elizabeth Ilodianya, NP
• Internal Medicine Practice Associates PC
• William Richard Jackomis, D.D.S., J.D.
• Kelly Renee Jacobs- Belodeau

• Family Nurse Practitioner in Potomac Falls, VA
• Providers in Potomac Falls, 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 Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.