Active NPI
Alexander An Quoc Nguyen, MSN, APRN, AGPCNP-BC
- Nurse Practitioner
- Annandale, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024185156
- Practice address
- 4208 Evergreen LN Ste 214
Annandale, VA 22003-3254 - Phone
- (703) 642-6633
- NPI assigned
- Oct 31, 2022
- Last updated
- Oct 31, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024185156 | VA | Primary |
Addresses
Primary practice location
4208 Evergreen LN Ste 214
Annandale, VA 22003-3254
Mailing address
4208 Evergreen LN Ste 214
Annandale, VA 22003-3254
Phone (703) 642-6633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4208 Evergreen LN
Suite 214
Annandale, VA 22003-3254
Phone (703) 642-6633
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024185156 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connie D. Le, M.D, P.C | Current | Accepting new patients |
Locations
4208 Evergreen Ln
Ste 214
Annandale, VA 22003
Phone (703) 459-0310
2812 Old Lee Hwy
Ste 210A
Fairfax, VA 22031
Phone (703) 642-6633
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CBAACD/Endpoint/CBAACD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1235846213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4208 EVERGREEN LN STE 214",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033254",
"telephone_number": "703-642-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4208 EVERGREEN LN STE 214",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033254",
"telephone_number": "703-642-6633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "ALEXANDER",
"middle_name": "AN QUOC",
"credential": "MSN, APRN, AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-31",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024185156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.