Individual provider Active NPI

Myunghee Han

  • Acupuncturist
  • Fairfax, VA
National Provider Identifier
1346894920
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121000939 Issued in VA
Practice address
12005 Ridge Knoll Dr Unit 409a
Fairfax, VA 22033-4631
Phone
(703) 438-1109
NPI assigned
Jul 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0121000939 VA Primary

Addresses

Primary practice location

12005 Ridge Knoll Dr Unit 409a
Fairfax, VA 22033-4631

Mailing address

12005 Ridge Knoll Dr Unit 409a
Fairfax, VA 22033-4631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0121000939VAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Qi Acupuncture Acupuncturist Current Accepting new patients
Transformational Acupuncture LLC Acupuncturist PastSince Nov 29, 2020 Accepting new patients

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": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1346894920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12005 RIDGE KNOLL DR UNIT 409A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12005 RIDGE KNOLL DR UNIT 409A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334631",
            "telephone_number": "703-438-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "MYUNGHEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.