Individual provider Active NPI

You Rim Hur, AGNP

  • Adult Health Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1952782880
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024172650 Issued in VA
Practice address
1684 E Gude Dr Ste 202
Rockville, MD 20850-5338
Phone
(301) 217-9222
NPI assigned
Jun 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 0024172650 VA
Adult Health Nurse Practitioner 363LA2200X 0024172650 VA Primary

Addresses

Primary practice location

1684 E Gude Dr Ste 202
Rockville, MD 20850-5338

Mailing address

1684 E Gude Dr Ste 202
Rockville, MD 20850-5338
Phone (301) 217-9222

Other practice location 1

4208 Evergreen Ln Ste 222
Annandale, VA 22003-3251
Phone (703) 642-2288

Other practice location 2

1684 E Gude Dr Ste 202
Rockville, MD 20850-5338
Phone (301) 217-9222

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
I20190207001029 DC Practitioner - Nurse Practitioner 2264770742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

1684 E Gude Dr
Suite 202
Rockville, MD 20850-5338
Phone (301) 217-9222

4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024172650VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC CurrentSince Nov 14, 2019 Accepting new patients
Privia Care Center LLC CurrentSince Nov 14, 2019 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 12, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 12, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Peter D Kim MD PC PastSince Nov 19, 2005 Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

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

1684 E Gude Dr
Ste 202
Rockville, MD 20850
Phone (301) 217-9222

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

Interoperability endpoints

  • Direct secure messaging: yourim.hur.1@8042.direct.athenahealth.com

Organizations & group practices 6

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1952782880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 E GUDE DR STE 202",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505338",
            "telephone_number": "301-217-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 E GUDE DR STE 202",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505338",
            "telephone_number": "301-217-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4208 Evergreen Ln Ste 222",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220033251",
            "country_code": "US",
            "telephone_number": "703-642-2288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1684 E Gude Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208505338",
            "country_code": "US",
            "telephone_number": "301-217-9222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUR",
        "first_name": "YOU RIM",
        "name_prefix": "Dr.",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024172650",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024172650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.