Pig LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PIG LLC

Practice address

11166 Fairfax Blvd Ste 500F38
Fairfax, VA 22030-5017

Phone

(703) 686-5833

Fax

(703) 635-7127

NPI assigned

Aug 6, 2024

Organization subpart

No

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

Authorized official

Name

Hailey Jun, FNPNPI 1982295234

Title

President

Phone

(703) 963-5662

Specialties & licenses 1

Addresses

Other names 1

• Mango Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• Direct secure messaging: mango@org227.direct.charmhealth.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hailey H Jun, FNP-C

  • Family Nurse Practitioner
  • Fairfax, VA
  • NPI 1982295234

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1992535835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11166 FAIRFAX BLVD STE 500F38",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305017",
            "telephone_number": "703-686-5833",
            "fax_number": "703-635-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11166 FAIRFAX BLVD STE 500F38",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305017",
            "telephone_number": "703-686-5833",
            "fax_number": "703-635-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "JUN",
        "authorized_official_first_name": "HAILEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-963-5662",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mango Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mango Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia E Pierce, OD
• Laura Dray Pierce, D.D.S.
• Monica Pierce
• Robert Pierce
• Hony Pierola
• Niccole Piguet, MD
• Anne Price Pilcher, CRNA
• Chrystal Marie Pilgrim, PHYSICIAN ASSISTANT
• Nathan Lee Pilgrim, DO, MPH
• Karla Hoke Pillote, NP

• Family Nurse Practitioner in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.