Individual provider Active NPI

Eunji Lee, FNP-C

  • Family Nurse Practitioner
  • Purcellville, VA
National Provider Identifier
1730945866
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024188029 Issued in VA
Practice address
200 North Maple Avenue
Purcellville, VA 20132-6100
Phone
(540) 338-0032
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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 0024188029 VA Primary

Addresses

Primary practice location

200 North Maple Avenue
Purcellville, VA 20132-6100

Mailing address

224-D Cornwall Street, NW, Suite 403
Leesburg, VA 20176-2704
Phone (703) 737-6010

Other identifiers 2

IdentifierTypeStateIssuer
1730945866MedicaidVA
30017812900001MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240419002108 VA Practitioner - Nurse Practitioner 6709225931 Reassigns benefits to 1 organization
I20250610000002 DC Practitioner - Nurse Practitioner 6709225931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians

Practice addresses (Care Compare)

1208 W Broad St
Suite D
Falls Church, VA 22046-2116
Phone (571) 766-8927

13039 Route 50
Suite C
Fairfax, VA 22033-2047
Phone (571) 307-2594

1340 Old Chain Bridge Rd
Suite 101
MC Lean, VA 22101-3909
Phone (703) 893-2273

1488 Northpoint VLG Ctr
Inova Ghlth Ucc Rest
Reston, VA 20194-1190
Phone (571) 525-5850

180 Maple Ave W
Vienna, VA 22180-5727
Phone (703) 938-5300

2415 Centreville Rd
Suite B6
Herndon, VA 20171-3029
Phone (571) 376-4000

300 Fort Evans Rd NE
Suite 103
Leesburg, VA 20176-4491
Phone (571) 252-9953

6201 Centreville Rd
Suite 200
Centreville, VA 20121-2626
Phone (571) 549-8577

6206 Rolling Rd
Springfield, VA 22152-2306
Phone (571) 889-3235

9404 A Main St
Fairfax, VA 22031-4032
Phone 47027679312302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Ucc LLC CurrentSince Jun 9, 2025 Accepting new patients

Locations

6218 N Kings Hwy
#B
Alexandria, VA 22303
Phone (571) 560-2621

4600 Kenmore Ave
Alexandria, VA 22304
Phone (571) 506-1847

4600 Cherry Hill Rd
Arlington, VA 22207
Phone (571) 977-5274

20070 Ashbrook Commons Plz
Unit 104
Ashburn, VA 20147
Phone (571) 479-3116

43135 Broadlands Center Plz
Ste 123
Broadlands, VA 20148
Phone (571) 206-0742

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

7637 Linton Hall Rd
Gainesville, VA 20155
Phone (703) 743-7000

2425 Centreville Rd
Ste 7
Herndon, VA 20171
Phone (571) 376-4000

300 Fort Evans Rd NE
Ste 103
Leesburg, VA 20176
Phone (571) 252-9953

11670 Sudley Manor Dr
Manassas, VA 20109
Phone (571) 359-6424

1488 Northpoint Village Ctr
Reston, VA 20194
Phone (571) 525-5850

6671A Backlick Rd
Springfield, VA 22150
Phone (571) 286-5592

180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300

Interoperability endpoints

  • Direct secure messaging: elee581858@soc.inova.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1730945866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224-D CORNWALL STREET, NW, SUITE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH MAPLE AVENUE",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326100",
            "telephone_number": "540-338-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "EUNJI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024188029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730945866",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017812900001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

Verify at the official NPI Registry.