Active NPI
Hyesin Park
- Acupuncturist
- Chantilly, VA
National Provider Identifier
1497391601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0121000944
- Practice address
- 4229 Lafayette Center Dr Ste 1350
Chantilly, VA 20151-1268 - Phone
- (571) 206-1577
- NPI assigned
- Nov 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0121000944 | VA | Primary |
Addresses
Primary practice location
4229 Lafayette Center Dr Ste 1350
Chantilly, VA 20151-1268
Mailing address
13929 Antonia Ford CT
Centreville, VA 20121-3563
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0121000944 | VA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1497391601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13929 ANTONIA FORD CT",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201213563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4229 LAFAYETTE CENTER DR STE 1350",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201511268",
"telephone_number": "571-206-1577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "HYESIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-22",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "VA",
"license": "0121000944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chantilly, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.