Individual provider Active NPI

Vivian Takafuji, L.AC, CMT

  • Acupuncturist
  • Virginia Beach, VA
National Provider Identifier
1104382555
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121000946 Issued in VA
Practice address
291 Independence Blvd Ste 217
Virginia Beach, VA 23462-5475
Phone
(757) 799-4432
NPI assigned
Feb 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0019006733 VA
Acupuncturist 171100000X 0121000946 VA Primary

Addresses

Primary practice location

291 Independence Blvd Ste 217
Virginia Beach, VA 23462-5475

Mailing address

1249 Farrcroft Way
Virginia Beach, VA 23455-6875
Phone (703) 994-9375

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
0121000946VAMDAcupuncturist
0019006733VAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Teal Center for Therapeutic Bodywork, LTD. Acupuncturist PastSince Oct 1, 2019 Accepting new patients

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": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1104382555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 FARRCROFT WAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556875",
            "telephone_number": "703-994-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 INDEPENDENCE BLVD STE 217",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625475",
            "telephone_number": "757-799-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAFUJI",
        "first_name": "VIVIAN",
        "credential": "L.AC, CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019006733",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.