YOU JONG ALYSSA MOON (NPI# 1033696141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033696141 |
| Entity Type | Individual |
| Full Name | YOU JONG ALYSSA MOON |
| Credential | FNP-C |
| Practice Address |
4208 Evergreen Ln Ste 222 Annandale VA 22003-3251 |
| Practice Telephone | 7036422288 |
| Mailing Telephone | 7036422288 |
| Enumeration Date | 2018-07-21 |
| Last Update Date | 2019-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024176271 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5747 Oakshore Ct, Burke, VA 220152231 | 7036222124 |
| Street Address |
4208 EVERGREEN LN STE 222 |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-3251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255943353 | Rachel Suzanne Coulter | Nurse Practitioner | 4112 Turkey Creek Ct, Annandale, VA 22003-3663 | 2020-08-19 |
| 1013470715 | Khadra Muse | Nurse Practitioner | 7811 Bristow Dr, Annandale, VA 22003-5149 | 2019-04-09 |
| 1407338049 | Jennifer Morgan Gessler | Nurse Practitioner | 3409 Reedy Dr, Annandale, VA 22003-1137 | 2018-08-30 |
| 1326545583 | Sidratu Aminata Bundu | Nurse Practitioner | 7916 Schuyler Ct, Annandale, VA 22003-5143 | 2018-04-12 |
| 1972041259 | Sherry Roberts | Nurse Practitioner | 4424 Starr Jordan Dr, Annandale, VA 22003-3826 | 2017-02-07 |
| 1083069892 | Waleska Sing | Nurse Practitioner | 3289 Woodburn Rd Ste 240, Annandale, VA 22003-7347 | 2016-04-29 |
| 1932518073 | Kieu Giang Le | Nurse Practitioner | 7617 Little River Tpke Ste 850, Annandale, VA 22003-2618 | 2014-08-02 |
| 1336577972 | Frouzan Kabiri | Nurse Practitioner | 7205 Little River Tpke, Minute Clinic, Annandale, VA 22003-3304 | 2013-10-17 |
| 1124201108 | Brenda Holbrook | Nurse Practitioner | 4405 Roberts Ave, Annandale, VA 22003-3511 | 2007-12-12 |
| 1063535441 | Carmella Simmons | Nurse Practitioner | 7215 Jayhawk St, Annandale, VA 22003-5760 | 2007-04-09 |
| Find all providers in ANNANDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.