Individual provider Active NPI

Priscilla Calvert Thompson, MAC, LMT, LME

  • Acupuncturist
  • Herndon, VA
National Provider Identifier
1083486153
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121001173 Issued in VA
Practice address
485 Carlisle Dr Ste a
Herndon, VA 20170-5602
Phone
(571) 323-1088
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0121001173 VA Primary
Massage Therapist 225700000X 0019004786 VA

Addresses

Primary practice location

485 Carlisle Dr Ste a
Herndon, VA 20170-5602

Mailing address

43188 Spinks Ferry Rd
Leesburg, VA 20176-5626
Phone (571) 212-2982

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
0121001173VAMDAcupuncturist
0019004786VAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Calvert Rejuvenations Acupuncturist CurrentSince Nov 5, 2023 Accepting new patients

Locations

485 Carlisle Dr
Ste A
Herndon, VA 20170
Phone (571) 323-1088

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1083486153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43188 SPINKS FERRY RD",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201765626",
            "telephone_number": "571-212-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 CARLISLE DR STE A",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705602",
            "telephone_number": "571-323-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PRISCILLA",
        "middle_name": "CALVERT",
        "credential": "MAC, LMT, LME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121001173",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019004786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.