Active NPI
Sarah Dawn Faggert, DAC, LAC
- Acupuncturist
- McLean, VA
National Provider Identifier
1093292153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0121000890
- 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, 2021
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0121000890 | VA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Roots Wellness, PL C | Acupuncturist | Current | 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.
-
- Acupuncturist
- McLean, VA
- NPI 1437620614
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.