Active NPI
Jessica Howard, DC
- Chiropractor
- Vienna, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104557054
- Practice address
- 1980 Gallows Rd
Ste 205
Vienna, VA 22182-3913 - Phone
- (703) 444-4141
- Fax
- (703) 444-5407
- NPI assigned
- Jun 19, 2013
- Last updated
- May 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104557054 | VA | Primary |
Addresses
Primary practice location
1980 Gallows Rd
Ste 205
Vienna, VA 22182-3913
Mailing address
1980 Gallows Rd
Ste 205
Vienna, VA 22182-3913
Phone (703) 444-4141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2110 Gallows Rd
Suite A1
Vienna, VA 22182-3962
Phone (703) 442-0800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultramed Group, Inc | Current | Accepting new patients | |
| Howard Chiropractic Clinic | Chiropractor | Current | Accepting new patients |
Locations
20 Pidgeon Hill Dr
Ste 102
Sterling, VA 20165
Phone (703) 444-4141
1980 Gallows Rd
Ste 205
Vienna, VA 22182
Phone (703) 442-0800
2110 Gallows Rd
Ste A1
Vienna, VA 22182
Phone (703) 442-0800
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Active Lifestyle Medical
- General Practice Physician
- Sterling, VA
- NPI 1376076059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1073952388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1980 GALLOWS RD",
"address_2": "STE 205",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823913",
"telephone_number": "703-444-4141",
"fax_number": "703-444-5407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1980 GALLOWS RD",
"address_2": "STE 205",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823913",
"telephone_number": "703-444-4141",
"fax_number": "703-444-5407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "JESSICA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-19",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.