Active NPI
Jennifer Jacobs
- Acupuncturist
- Annandale, VA
National Provider Identifier
1093386385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0121-000993
- Practice address
- 6538 Renwood LN
Annandale, VA 22003-2039 - Phone
- (703) 801-3471
- NPI assigned
- Jul 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U02731 | MD | |
| Acupuncturist | 171100000X | 0121-000993 | VA | Primary |
Addresses
Primary practice location
6538 Renwood LN
Annandale, VA 22003-2039
Mailing address
6538 Renwood LN
Annandale, VA 22003-2039
Phone (703) 801-3471
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 |
|---|---|---|---|
| U02731 | MD | MD | Acupuncturist |
| 0121-000993 | VA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1093386385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6538 RENWOOD LN",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220032039",
"telephone_number": "703-801-3471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6538 RENWOOD LN",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220032039",
"telephone_number": "703-801-3471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-07",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U02731",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "VA",
"license": "0121-000993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.