Alice Tran Nurse Practitioner LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Fairfax, VA
NPI 1306786504 · NPPES record last updated Jul 17, 2026
Key facts
- NPI
- 1306786504
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- ALICE TRAN NURSE PRACTITIONER LLC
- Practice address
- 3060 Williams Dr Ste 300
Fairfax, VA 22031-4648 - Phone
- (703) 791-9099
- Fax
- (804) 807-9399
- NPI assigned
- Mar 30, 2026
- Organization subpart
- No
Authorized official
- Name
- Anh Khoa Dieu Tran
- Title
- Owner
- Phone
- (703) 791-9099
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260529002089 | VA | Part B Supplier - Clinic/Group Practice | 5991275075 |
Receives reassigned benefits from 1 practitioner Practice locations: Fairfax, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
3060 Williams Dr Ste 300
Fairfax, VA 22031-4648
Mailing address
3060 Williams Dr Ste 300
Fairfax, VA 22031-4648
Phone (703) 791-9099
Other names
- Alice Tran Psychiatric Care
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All providers in Fairfax, VA · Psychiatric/Mental Health Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.