IndividualActive
Supavinee Phanngoen
NPI 1679276380 · Community/Behavioral Health Agency · Washington, DC
Supavinee Phanngoen is a Community/Behavioral Health Agency provider in Washington, DC (NPI 1679276380).
Provider details
- NPI number
- 1679276380
- Entity type
- Individual
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2811 Pennsylvania Ave Se # Ll
Washington, DC 20020-3865
Phone: (202) 894-6811
Street-level locationGet directions
Mailing address
12804 Bluhill Rd
Silver Spring, MD 20906-4026
Registry dates
- Enumerated
- 2023-03-22
- Last updated
- 2023-03-22
- Certified
- 2023-03-22
Frequently asked questions
- What is Supavinee Phanngoen's NPI number?
- Supavinee Phanngoen's National Provider Identifier (NPI) is 1679276380, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Supavinee Phanngoen's specialty?
- Supavinee Phanngoen is listed in the NPPES registry with a primary specialty of Community/Behavioral Health Agency (Agencies).
- Where is Supavinee Phanngoen located?
- Supavinee Phanngoen's practice location on file with NPPES is 2811 Pennsylvania Ave Se # Ll, Washington, DC 20020-3865.
- What is Supavinee Phanngoen's phone number?
- The practice phone number listed in the NPPES registry for Supavinee Phanngoen is (202) 894-6811.
- Is Supavinee Phanngoen's NPI active?
- Yes — Supavinee Phanngoen's NPI (1679276380) is active in the NPPES registry as of the last update on 2023-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.