Active NPI
Haesun Hwang Nutrition Consulting LLC
- Health Service Clinic/Center
- Alexandria, VA
National Provider Identifier
1255633277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- S345186-3
- Legal business name
- HAESUN HWANG NUTRITION CONSULTING LLC
- Practice address
- 6300 Stevenson Ave Ste D
Alexandria, VA 22304-3554 - Phone
- (571) 274-1034
- Fax
- (703) 774-3923
- NPI assigned
- Nov 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Haesun Hwang, MS.RD.CDE.
- Title
- Owner
- Phone
- (571) 274-1034
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | S345186-3 | VA | Primary |
Addresses
Primary practice location
6300 Stevenson Ave Ste D
Alexandria, VA 22304-3554
Mailing address
11432 Chartres Way
Fairfax, VA 22030-0980
Phone (571) 274-1034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294185600000",
"number": "1255633277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11432 CHARTRES WAY",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220300980",
"telephone_number": "571-274-1034",
"fax_number": "703-774-3923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 STEVENSON AVE STE D",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223043554",
"telephone_number": "571-274-1034",
"fax_number": "703-774-3923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAESUN HWANG NUTRITION CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-23",
"last_updated": "2011-01-05",
"status": "A",
"authorized_official_last_name": "HWANG",
"authorized_official_first_name": "HAESUN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "571-274-1034",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS.RD.CDE."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "VA",
"license": "S345186-3",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.