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CAITLYN JUNGEUN KOO MD
NPI 1205623303
Student in an Organized Health Care Education/Training Program in Portsmouth, VA

Active since April 22, 2025
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(757) 953-1814 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Caitlyn Jungeun Koo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAITLYN JUNGEUN KOO MD (NPI 1205623303) is an individual student in an organized health care education/training program in Portsmouth, Virginia and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1205623303
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCAITLYN JUNGEUN KOOCredential: MD
Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111
Mailing Address620 John Paul Jones CirPortsmouth, VA 23708-2111
Phone(757) 953-1814
Sole ProprietorYes
Enumeration DateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1205623303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
620 JOHN PAUL JONES CIR, Portsmouth, VA 23708
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEREDITH TVERDOSI CRNA
Nurse Anesthetist, Certified Registered
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-3238
ERIC FRANCIS SULAVA
Emergency Medicine
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
MRS. TIFFNY KUPER RHH
Dental Hygienist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2711
DR. LAKEISHA GOODE PHARMD
Pharmacist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7462
JASMINE WOOD MD
Surgery
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-1895
NICHOLAS FANSELOW
General Practice
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
DR. DAVID JESSEN MD
Military Health Care Provider
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2518
MRS. WILLAR MAE BAUM L.C.S.W.
Social Worker (Clinical)
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-9767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caitlyn Koo's NPI number?

The NPI number for Caitlyn Koo is 1205623303. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Caitlyn Koo located?

Caitlyn Koo practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-1814.

What is Caitlyn Koo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Caitlyn Koo was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.