Individual provider Active NPI

Sung Sun Dye

  • Psychiatric/Mental Health Nurse Practitioner
  • Warrenton, VA
National Provider Identifier
1275341232
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024191911 Issued in VA
Practice address
3962 Lake Ashby CT
Warrenton, VA 20187-5844
Phone
(703) 344-6111
NPI assigned
Dec 23, 2024
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024191911 VA Primary

Addresses

Primary practice location

3962 Lake Ashby CT
Warrenton, VA 20187-5844

Mailing address

3962 Lake Ashby CT
Warrenton, VA 20187-5844
Phone (703) 344-6111

Other practice location 1

8220 Meadowbridge Rd Ste 313
Mechanicsville, VA 23116-2340
Phone (804) 325-8882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250621000135 VA Practitioner - Nurse Practitioner 3971015421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1510 N 28TH St
Richmond, VA 23223-5311

8220 Meadowbridge Rd
Suite 202
Mechanicsville, VA 23116-2340
Phone (804) 285-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024191911VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jun 15, 2025 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jun 15, 2025 Accepting new patients

Locations

8220 Meadowbridge Rd
Ste 313
Mechanicsville, VA 23116
Phone (804) 325-8882

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Interoperability endpoints

  • Direct secure messaging: sdye2837834@direct.bsmhealth.org

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, 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": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1275341232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3962 LAKE ASHBY CT",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201875844",
            "telephone_number": "703-344-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3962 LAKE ASHBY CT",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201875844",
            "telephone_number": "703-344-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8220 Meadowbridge Rd Ste 313",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231162340",
            "country_code": "US",
            "telephone_number": "804-325-8882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYE",
        "first_name": "SUNG",
        "middle_name": "SUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-23",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024191911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.