Individual provider Active NPI

Suyun Kim

  • Family Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1588060636
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178414 Issued in VA
Practice address
2800 Eisenhower Ave Ste 220
Alexandria, VA 22314-4587
Phone
(888) 803-3370
NPI assigned
Nov 17, 2014
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024178414 VA
Adult Health Nurse Practitioner 363LA2200X 95009213 CA
Adult Health Nurse Practitioner 363LA2200X AP60511741 WA
Family Nurse Practitioner 363LF0000X 0024178414 VA Primary

Addresses

Primary practice location

2800 Eisenhower Ave Ste 220
Alexandria, VA 22314-4587

Mailing address

201 12TH St Apt 15
Palisades Park, NJ 07650-2063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VA, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180711004040 CA Practitioner - Nurse Practitioner 0547584658 Reassigns benefits to 1 organization
I20200427000872 VA Practitioner - Nurse Practitioner 0547584658 Reassigns benefits to 1 organization
I20200916000460 DC Practitioner - Nurse Practitioner 0547584658 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024178414VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Medical House Call LLC CurrentSince Aug 1, 2020 Accepting new patients
Doctors on Duty Medical Group, Inc CurrentSince Jun 20, 2018 Accepting new patients
Circle Medical Care Group PA CurrentSince Aug 1, 2025 Accepting new patients
Pro Healthcare Servicing, LLC Past Accepting new patients
Marina Doctors on Duty Past Accepting new patients
Monterey Doctors on Duty PastSince Jun 20, 2018 Accepting new patients
Pro Healthcare Servicing, LLC PastSince Aug 1, 2020 Accepting new patients

Locations

3130 Del Monte Blvd
Marina, CA 93933
Phone (831) 883-3330

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

1212 S Main St
Salinas, CA 93901
Phone (831) 422-7777

1 Research Ct
Ste 450
Rockville, MD 20850
Phone (240) 403-4068

2800 Eisenhower Ave
Ste 220
Alexandria, VA 22314
Phone (540) 358-0423

8315 Route 29
Ste 202
Fairfax, VA 22031
Phone (703) 352-1939

1320 Central Park Blvd
Ste 110
Fredericksburg, VA 22401
Phone (703) 352-1939

Organizations & group practices 7

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": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1588060636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 12TH ST APT 15",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 EISENHOWER AVE STE 220",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144587",
            "telephone_number": "888-803-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUYUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024178414",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95009213",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60511741",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.