Individual provider Active NPI

Flora Wong, RN BSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1275198418
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024188139 Issued in VA
Practice address
1954 Opitz Blvd Ste 7
Woodbridge, VA 22191-3304
Phone
(703) 492-2924
NPI assigned
May 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001242478 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024188139 VA Primary

Addresses

Primary practice location

1954 Opitz Blvd Ste 7
Woodbridge, VA 22191-3304

Mailing address

10440 Little Patuxent Pkwy Ste 800
Columbia, MD 21044-3569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20240322002707 VA Practitioner - Nurse Practitioner 6800233057 Reassigns benefits to 1 organization
I20240325000177 DC Practitioner - Nurse Practitioner 6800233057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001242478VAMDRegistered Nurse
0024188139VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Associates of Maryland LLC CurrentSince Feb 9, 2024 Accepting new patients
Neta, Inc. PastSince Jan 21, 2020 Accepting new patients

Locations

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (240) 531-2799

2331 York Rd
Ste 100
Timonium, MD 21093

1954 Greenspring Dr
Ste 530
Timonium, MD 21093
Phone (240) 441-9858

801 N Quincy St
Ste 601
Arlington, VA 22203
Phone (667) 220-8067

630 Peter Jefferson Pkwy
Ste 130
Charlottesville, VA 22911
Phone (434) 201-2155

2960 Sleepy Hollow Rd
Falls Church, VA 22044
Phone (703) 304-7764

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

1602 Village Market Blvd SE
Ste 250
Leesburg, VA 20175
Phone (667) 222-0381

8140 Ashton Ave
Ste 112
Manassas, VA 20109
Phone (703) 393-6366

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

7702 E Parham Rd
Ste 102
Richmond, VA 23294
Phone (804) 346-1612

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

Interoperability endpoints

  • Direct secure messaging: bloomhealthcenters.florawong@131200.advancedmd-direct.com

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": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1275198418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 LITTLE PATUXENT PKWY STE 800",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 OPITZ BLVD STE 7",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913304",
            "telephone_number": "703-492-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "FLORA",
        "credential": "RN BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001242478",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024188139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.