Individual provider Active NPI

Jodi Knauer, L.AC

  • Acupuncturist
  • Alexandria, VA
National Provider Identifier
1023440310
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121-000707 Issued in VA
Practice address
501 Holland LN Unit 102
Alexandria, VA 22314-3539
Phone
(571) 419-2637
NPI assigned
Aug 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0121-000707 VA Primary

Addresses

Primary practice location

501 Holland LN Unit 102
Alexandria, VA 22314-3539

Mailing address

2201 Mount Vernon Avenue
Vital Body & Mind Therapies
Alexandria, VA 22301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0121-000707VAMDAcupuncturist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1023440310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 MOUNT VERNON AVENUE",
            "address_2": "VITAL BODY & MIND THERAPIES",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HOLLAND LN UNIT 102",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143539",
            "telephone_number": "571-419-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAUER",
        "first_name": "JODI",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121-000707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.