Individual provider Active NPI

Kyla Wyatt Nguyen, MSN, RN, LNP, FNP-BC

  • Family Nurse Practitioner
  • Springfield, VA
National Provider Identifier
1912475781
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176891 Issued in VA
Practice address
6136 Brandon Ave
Springfield, VA 22150-2610
Phone
(703) 866-3131
NPI assigned
Nov 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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 0024176891 VA Primary

Addresses

Primary practice location

6136 Brandon Ave
Springfield, VA 22150-2610

Mailing address

4011 Gallows Rd
Annandale, VA 22003-1858
Phone (301) 919-1909

Other names 1

  • Kyla Wyatt Leonor Former name

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
I20190107002598 DC Practitioner - Nurse Practitioner 4385980747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amelia Heart and Vascular Center, Inc.Group PAC ID 1759474372, 9 clinicians
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

6136 Brandon Ave
Springfield, VA 22150-2610
Phone (703) 866-3131

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0024176891VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 13, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 13, 2018 Accepting new patients
Amelia Heart and Vascular Center, Inc. CurrentSince May 1, 2025 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

7906 Andrus Rd
Ste 6
Alexandria, VA 22306
Phone (703) 866-3131

7906 Andrus Rd
Ste 8
Alexandria, VA 22306
Phone (703) 780-7034

2445 Army Navy Dr
Ste 303
Arlington, VA 22206
Phone (703) 866-3131

6136 Brandon Ave
Springfield, VA 22150
Phone (703) 866-3131

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kyla.nguyen.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2010/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1912475781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 GALLOWS RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031858",
            "telephone_number": "301-919-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6136 BRANDON AVE",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502610",
            "telephone_number": "703-866-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KYLA",
        "middle_name": "WYATT",
        "credential": "MSN, RN, LNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLA",
            "last_name": "LEONOR",
            "middle_name": "WYATT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.