Active NPI
Jane Y Hwang, FNP-BC, PMHNP-BC
- Nurse Practitioner
- Manassas, VA
National Provider Identifier
1396818795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 024168508
- Practice address
- 8644 Sudley Rd Ste 315
Manassas, VA 20110 - Phone
- (703) 369-8055
- Fax
- (703) 369-8565
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201156 | NC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 161246 | NC | |
| Nurse Practitioner | 363L00000X | 024168508 | VA | Primary |
Addresses
Primary practice location
8644 Sudley Rd Ste 315
Manassas, VA 20110
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (703) 369-8055
Other practice location 1
790 SE Cary Pkwy
Ste 201
Cary, NC 27511-5678
Phone (919) 443-4100
Other practice location 2
790 SE Cary Pkwy
Ste 201
Cary, NC 27511-5678
Phone (919) 443-4100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C02810 | Other | VA | MEDICARE GROUP |
| 004945247 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024168508 | VA | MD | Nurse Practitioner |
| 161246 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rex Hospital, Inc. | Past | Accepting new patients | |
| Prince William County | Past | Accepting new patients | |
| Prince William County Community Services Board | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Ambulance
- Prince William, VA
- NPI 1235437385
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manassas, VA
- NPI 1053402800
-
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1396818795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "703-369-8055",
"fax_number": "703-369-8565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8644 SUDLEY RD STE 315",
"city": "MANASSAS",
"state": "VA",
"postal_code": "20110",
"telephone_number": "703-369-8055",
"fax_number": "703-369-8565"
}
],
"practiceLocations": [
{
"address_1": "790 SE Cary Pkwy",
"address_2": "Ste 201",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275115678",
"country_code": "US",
"telephone_number": "919-443-4100",
"fax_number": "877-904-9349",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "790 SE Cary Pkwy",
"address_2": "Ste 201",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275115678",
"country_code": "US",
"telephone_number": "919-443-4100",
"fax_number": "877-904-9349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HWANG",
"first_name": "JANE",
"middle_name": "Y",
"credential": "FNP-BC, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "201156",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "161246",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "024168508",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "C02810",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004945247",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.