Jiyeong Lee (NPI# 1669718037, PAC ID# 2264676303) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1669718037 |
| PAC ID by PECOS | 2264676303 |
| Professional Enrollment ID | I20130911000740 |
| Full Name | Jiyeong Lee |
| Organization Legal Name | MINUTECLINIC DIAGNOSTIC OF VIRGINIA LLC |
| Address |
10301 New Guinea Rd Fairfax VA 22032-3268 |
| Phone Number | 8663892727 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6709960891 |
| Number of Group Practice Members | 136 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490050 | VIRGINIA HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1625 N George Mason Dr-suite, 475 Va Hosp Ctr Phy Grp Primary Care Arlington, Arlington, VA 22205-3620 | 7037174245 | VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP LLC |
| 2800 S Shirlington Rd, Suite 500, Arlington, VA 22206-3618 | 7037174245 | VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP LLC |
| 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 8663892727 | MINUTECLINIC DIAGNOSTIC OF VIRGINIA LLC |
| 8301 Arlington Blvd, Suite 100, Fairfax, VA 22031-2902 | 7038490900 | FAIRFAX CONVENIENT CARE LLC |
| Organization Legal Name | MINUTECLINIC DIAGNOSTIC OF VIRGINIA LLC |
| Physicians | 180 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amelia N Bazzi | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 13800 Hull St Rd, Midlothian, VA 23112-2002 |
| Ami K Kowalski | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 13000 Warwick Blvd, Newport News, VA 23602-8340 |
| Marie G Kaufmann | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 1201 S Hayes St, Arlington, VA 22202-2700 |
| Chirag Hemal Desai | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 11271 Nuckols Rd, Glen Allen, VA 23059-5502 |
| Chelsea P Cannon | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 5829 High W St, Portsmouth, VA 23703-4503 |
| Amanda Jean Hudgins | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 550 N Franklin St, Christiansburg, VA 24073-1916 |
| Emily Kristen Taylor | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 11458 Kings Hwy, King George, VA 22485-4200 |
| Kirsten Martin Goetz | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 7205 Little River Tpke, Annandale, VA 22003-3304 |
| Patricia Parks | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 510 Blackwell Rd, Warrenton, VA 20186-2600 |
| Maureen S Milauskas | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 2001 Colonial Ave Se, Roanoke, VA 24015-3210 |
| Street Address |
10301 NEW GUINEA RD |
| City | FAIRFAX |
| State | VA |
| Zip | 22032-3268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Marie L Kubota | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 10301 New Guinea Rd, Fairfax, VA 22032-3268 |
| Huma Hussain | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 10301 New Guinea Rd, Fairfax, VA 22032-3268 |
| Nicole L Rindone | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 10301 New Guinea Rd, Fairfax, VA 22032-3268 |
| John H Du | Optometry | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | |
| Diane Emily Mitchell | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 10301 New Guinea Rd, Fairfax, VA 22032-3268 |
| Bethany K Morrell | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 10301 New Guinea Rd, Fairfax, VA 22032-3268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duc M Ngo | Internal Medicine | 4004 Burke Station Rd, Fairfax, VA 22032-1002 | |
| Kevin Patrick Ward | Chiropractic | 10515 Braddock Rd, Suite B, Fairfax, VA 22032-2236 | |
| James Go | Chiropractic | 10507 Braddock Rd, Suite A, Fairfax, VA 22032-2240 | |
| Christin Dougherty | Clinical Social Worker | Northern Virginia Older Adult Counseling | 4700 Banting Ct, Fairfax, VA 22032-2451 |
| Ruth A Provenzano | Clinical Social Worker | Northern Virginia Older Adult Counseling | 4700 Banting Ct, Fairfax, VA 22032-2451 |
| Elizabeth B Dakin | Clinical Social Worker | Northern Virginia Older Adult Counseling | 4700 Banting Ct, Fairfax, VA 22032-2451 |
| Karyn B Walsh | Clinical Social Worker | Northern Virginia Older Adult Counseling | 4700 Banting Ct, Fairfax, VA 22032-2451 |
| Shirley Metzger | Clinical Social Worker | Northern Virginia Older Adult Counseling | 4700 Banting Ct, Fairfax, VA 22032-2451 |
| Ronald P Longo | Clinical Social Worker | Northern Virginia Older Adult Counseling | 4700 Banting Ct, Fairfax, VA 22032-2451 |
| Colleen L Turner | Clinical Social Worker | Northern Virginia Older Adult Counseling | 4700 Banting Ct, Fairfax, VA 22032-2451 |
| Find all physicians in zip 22032 | |||
| City | FAIRFAX |
| Zip Code | 22032 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FAIRFAX + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jiyeong Lee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.