Individual provider Active NPI

Da Eun Kim Yun

  • Family Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1548847213
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024181025 Issued in VA
Practice address
5100 Leesburg Pike Ste 101
Alexandria, VA 22302-1000
Phone
(571) 685-2015
NPI assigned
Mar 26, 2021
Last updated
Mar 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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 0024181025 VA Primary

Addresses

Primary practice location

5100 Leesburg Pike Ste 101
Alexandria, VA 22302-1000

Mailing address

3445 Berkeley St Apt 339
Alexandria, VA 22302-1290

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
I20210428001773 DC Practitioner - Nurse Practitioner 3577971753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Harmony Medical Transitions LLCGroup PAC ID 2567860463, 10 clinicians

Practice addresses (Care Compare)

3445 Gallows Rd
Falls Church, VA 22042-3340
Phone (571) 685-2015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024181025VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ahmed Elebiary MD CurrentSince Jan 21, 2021 Accepting new patients
Harmony Medical Transitions LLC CurrentSince Sep 25, 2021 Accepting new patients
Cavery Wellness of Woodbridge, LLC Past Accepting new patients

Locations

5100 Leesburg Pike
Ste 101
Alexandria, VA 22302
Phone (571) 685-2015

900 Virginia Ave
Alexandria, VA 22302
Phone (703) 684-9100

1785 S Hayes St
Arlington, VA 22202
Phone (703) 920-0980

11199 Route 29
Ste C
Fairfax, VA 22030

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1548847213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 BERKELEY ST APT 339",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 LEESBURG PIKE STE 101",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021000",
            "telephone_number": "571-685-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "DA EUN",
        "middle_name": "KIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024181025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.