Active NPI
Yee Von Gan
- Registered Dietitian
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 008260-1
- Practice address
- 10301 Georgia Ave Ste 106
Silver Spring, MD 20902-5020 - Phone
- (301) 990-1664
- Fax
- (301) 990-0471
- NPI assigned
- May 6, 2015
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 008260-1 | NY | Primary |
Addresses
Primary practice location
10301 Georgia Ave Ste 106
Silver Spring, MD 20902-5020
Mailing address
10301 Georgia Ave Ste 106
Silver Spring, MD 20902-5020
Phone (301) 990-1664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008260-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Nova Physician Wellness Center PLLC | Past | Accepting new patients |
Locations
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
688 Berkmar Cir
Charlottesville, VA 22901
3903 Fair Ridge Dr
Ste 209
Fairfax, VA 22033
Phone (571) 349-2191
8644 Sudley Rd
#220
Manassas, VA 20110
14010 Smoketown Rd
Ste 105
Woodbridge, VA 22192
Phone (703) 730-4848
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- yeevon.gan.1@8042.direct.athenahealth.com
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.
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-
- Family Medicine Physician
- Fairfax, VA
- NPI 1215307400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456876800000",
"number": "1659758936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10301 GEORGIA AVE STE 106",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209025020",
"telephone_number": "301-990-1664",
"fax_number": "301-990-0471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 GEORGIA AVE STE 106",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209025020",
"telephone_number": "301-990-1664",
"fax_number": "301-990-0471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAN",
"first_name": "YEE VON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-06",
"last_updated": "2016-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008260-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.