Individual provider Active NPI

Sarah Dawn Faggert, DAC, LAC

  • Acupuncturist
  • McLean, VA
National Provider Identifier
1093292153
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121000890 Issued in VA
Practice address
1497 Chain Bridge Rd Ste 101
MC Lean, VA 22101-5728
Phone
(571) 354-6643
NPI assigned
Jul 23, 2018
Last updated
Nov 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0121000890 VA Primary

Addresses

Primary practice location

1497 Chain Bridge Rd Ste 101
MC Lean, VA 22101-5728

Mailing address

11017 Byrd Dr
Fairfax, VA 22030-5331
Phone (804) 955-0156

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
0121000890VAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Roots Wellness, PL C Acupuncturist CurrentSince Nov 16, 2021 Accepting new patients

Locations

1497 Chain Bridge Rd
Ste 101
Mc Lean, VA 22101
Phone (571) 354-6643

1497 Chain Bridge Rd
Ste 103
McLean, VA 22101
Phone (301) 538-8151

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1093292153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11017 BYRD DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305331",
            "telephone_number": "804-955-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 CHAIN BRIDGE RD STE 101",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015728",
            "telephone_number": "571-354-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGGERT",
        "first_name": "SARAH",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DAC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.