Jody Forman, MSW, L.Ac., PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0121000011 Issued in VA

Legal business name

JODY FORMAN, MSW, L.AC., PLLC

Practice address

355 West Rio Rd
Suite 206a
Charlottesville, VA 22901-1362

Phone

(434) 975-0025

NPI assigned

Feb 8, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Jody Forman, MSW.,L.AC., PLLC

Title

Licensed Acupuncturist

Phone

(434) 975-0025

Specialties & licenses 1

Addresses

Other names 1

• Charlottesville Healing Arts Other name

Locations

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1316243314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 WEST RIO RD",
            "address_2": "SUITE 206A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011362",
            "telephone_number": "434-975-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 WEST RIO RD",
            "address_2": "SUITE 206A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011362",
            "telephone_number": "434-975-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODY FORMAN, MSW, L.AC., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "434-975-0025",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW.,L.AC., PLLC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlottesville Healing Arts",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ritika Jha
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• Ann Marie Jinks, CRNA
• JMV Enterprises
• Jasmin Jo, M.D.
• Sage Stout Johannessen, DPT
• Jay A Johannigman, MD
• John H. Knight, Jr. DDS & Associates
• Jainy John, CRNA
• Dearing W. Johns, M.D.

• Acupuncturist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Acupuncturist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.