Individual provider Active NPI

Haewon Kwun

  • Acupuncturist
  • Vienna, VA
National Provider Identifier
1487477097
Registry record updated Nov 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121001161 Issued in VA
Practice address
8245 Boone Blvd Ste 630
Vienna, VA 22182-3894
Phone
(857) 288-8036
NPI assigned
Nov 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U03108 MD
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 0121001161 VA Primary

Addresses

Primary practice location

8245 Boone Blvd Ste 630
Vienna, VA 22182-3894

Mailing address

20441 Doncaster Ter
Sterling, VA 20165-4330
Phone (857) 288-8036

Other practice location 1

19415 Deerfield Ave Ste 201
Lansdowne, VA 20176-8471
Phone (857) 288-8036

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
U03108MDMDAcupuncturist
0121001161VAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1487477097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20441 DONCASTER TER",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201654330",
            "telephone_number": "857-288-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 BOONE BLVD STE 630",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823894",
            "telephone_number": "857-288-8036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19415 Deerfield Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lansdowne",
            "state": "VA",
            "postal_code": "201768471",
            "country_code": "US",
            "telephone_number": "857-288-8036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWUN",
        "first_name": "HAEWON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-02",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U03108",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121001161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; 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.