Jialu Lucy Yang

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0110009480 Issued in VA

Practice address

24560 Southpoint Dr Ste 150
Aldie, VA 20105-3505

Phone

(703) 496-5343

NPI assigned

Apr 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1336768753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24560 SOUTHPOINT DR STE 150",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24560 SOUTHPOINT DR STE 150",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053505",
            "telephone_number": "703-496-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "JIALU",
        "middle_name": "LUCY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0110009480",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co.
• Wellza Therapy LLC
• Anna Carrenina Wiesbauer, PT
• Jessica Ann Winters, OTR/L
• Prashant Yadav, DO
• Hyun Min Yoo, PHARM.D.
• Casie Lee Young, PMHNP-BC
• Karie L Zipper, CCN
• Marianne Zuggo-Liszka, MD

• Pediatrics Physician in Aldie, VA
• Providers in Aldie, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.