YEUN SU KO (NPI# 1639720154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639720154 |
| Entity Type | Individual |
| Full Name | YEUN SU KO |
| Practice Address |
3840 Lightfoot St Unit 249 Chantilly VA 20151-3025 |
| Practice Telephone | 7034742363 |
| Mailing Telephone | 7034742363 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
3840 LIGHTFOOT ST UNIT 249 |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20151-3025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635695 | Sabah Home Care | Home Health | 4221 Walney Rd Suite 500 C, Chantilly, VA 20151 | 2020-06-30 |
| 1205485976 | Huang Wellness Center LLC | Acupuncturist | 14145 Robet Paris Ct, Chantilly, VA 20151 | 2019-09-05 |
| 1376032714 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 | 2018-05-01 |
| 1013405950 | Chantilly Modern Dentistry, PC | Dentist | 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 | 2018-04-26 |
| 1972090389 | Wegmans Food Markets, Inc. | Pharmacy | 14361 Newbrook Dr., Chantilly, VA 20151 | 2018-04-20 |
| 1922526714 | Cynthia Anne Biggar | Specialist/Technologist | 13613 Bare Island Drive, Chantilly, VA 20151 | 2017-09-01 |
| 1497297717 | Rebekah Lee Hinders | Nurse Practitioner | 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 | 2016-11-17 |
| 1043761117 | Victoria Ranti Balogun | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-10-24 |
| 1619424694 | Erin Booker | Nurse Practitioner | Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-09-07 |
| 1326419078 | Amparo Emilia Kidd | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2015-10-07 |
| Find all providers in zip 20151 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194366252 | Eun Joo Ko | Technician | 25446 Stallion Branch Ter, Chantilly, VA 20152-5809 | 2019-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868540 | Charly Strickland | Technician | 305 Wakefield Dr, Locust Grove, VA 22508-5135 | 2020-10-12 |
| 1174120315 | Martha Coffield | Technician | 2400 Sarah Spence, Williamsburg, VA 23185-8060 | 2020-10-01 |
| 1700493822 | Albert Herdeg | Technician | 319 Wood Duck Ct, Suffolk, VA 23434-8096 | 2020-09-24 |
| 1639784952 | Denise Quarantello | Technician | 4927 Fenton Mill Rd, Williamsburg, VA 23188-6923 | 2020-09-14 |
| 1508471426 | Tyrric Mason | Technician | 633 W Washington St, Petersburg, VA 23803-4132 | 2020-09-09 |
| 1407469653 | Gwenolyn Murphy | Technician | 25460 Meherrin Rd, Capron, VA 23829-2050 | 2020-08-27 |
| 1386253730 | Natosha Hurt | Technician | 27728 Prince Edward Hwy, Rice, VA 23966-2702 | 2020-07-30 |
| 1336757772 | Jaye Hughes | Technician | 5116 Hunters Meadow Pl, Henrico, VA 23231-7668 | 2020-07-22 |
| 1477161107 | Susie Shell | Technician | 154 Baltic Dr, Weber City, VA 24290-7324 | 2020-07-20 |
| 1245857838 | Latifat Adegite | Technician | 10805 Three Chopt Rd, Henrico, VA 23233-2019 | 2020-06-29 |
| Find all providers with the same taxonomy | ||||
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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.