Individual provider Active NPI

Kim Quyen Nguyen, FNP

  • Family Nurse Practitioner
  • MC Lean, VA
National Provider Identifier
1447596036
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024170263 Issued in VA
Practice address
6862 Elm St Ste 600
MC Lean, VA 22101-3862
Phone
(703) 992-0649
Fax
(703) 992-6419
NPI assigned
Dec 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024170263 VA Primary

Addresses

Primary practice location

6862 Elm St Ste 600
MC Lean, VA 22101-3862

Mailing address

6862 Elm St Ste 600
MC Lean, VA 22101-3862
Phone (703) 992-0649

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address knguyen62713@direct.virginiahospitalcenter.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20130215000186 DC Practitioner - Nurse Practitioner 4183878390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1701 N George Mason Dr
Arlington, VA 22205-3698

6862 Elm St
Suite 500
MC Lean, VA 22101-3838
Phone (703) 992-0649

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.33 of 100Reported as group
Quality
74.39
Promoting interoperability
87
Improvement activities
40
Cost
70.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024170263VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group LLC CurrentSince Apr 8, 2019 Accepting new patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Apr 8, 2019 Accepting new patients

Locations

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

1625 N George Mason Dr
Ste 475
Arlington, VA 22205
Phone (703) 717-4000

6862 Elm St
Ste 500
Mc Lean, VA 22101
Phone (703) 992-0649

6862 Elm St
Ste 600
McLean, VA 22101
Phone (703) 992-0649

Interoperability endpoints

  • Direct secure messaging: knguyen62713@direct.virginiahospitalcenter.net

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1447596036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6862 ELM ST STE 600",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013862",
            "telephone_number": "703-992-0649",
            "fax_number": "703-992-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6862 ELM ST STE 600",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013862",
            "telephone_number": "703-992-0649",
            "fax_number": "703-992-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KIM",
        "middle_name": "QUYEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "knguyen62713@direct.virginiahospitalcenter.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LOINC 34133-9",
            "address_1": "6862 Elm St Ste 600",
            "city": "Mc Lean",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221013862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

Verify at the official NPI Registry.