Active NPI
Priscilla Calvert Thompson, MAC, LMT, LME
- Acupuncturist
- Herndon, VA
National Provider Identifier
1083486153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0121001173
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0121001173 | VA | MD | Acupuncturist |
| 0019004786 | VA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calvert Rejuvenations | Acupuncturist | Current | 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.
-
- Acupuncturist
- Herndon, VA
- NPI 1811769227
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.