Active NPI
Kim Livezey Feist, RDH
- Dental Hygienist
- Annandale, VA
National Provider Identifier
1316908460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 0402001879
- Practice address
- 3299 Woodburn Rd
Ste 440 Dr J Douglas Wooddell
Annandale, VA 22003 - Phone
- (703) 698-9698
- Fax
- (703) 849-0935
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 0402001879 | VA | Primary |
Addresses
Primary practice location
3299 Woodburn Rd
Ste 440 Dr J Douglas Wooddell
Annandale, VA 22003
Mailing address
11808 Lenox la
Woodbridge, VA 22192
Phone (703) 590-6928
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 |
|---|---|---|---|
| 0402001879 | VA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smilescrafters of Annadale | Past | 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.
-
- Dentist
- Annandale, VA
- NPI 1457154056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1316908460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11808 LENOX LA",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "22192",
"telephone_number": "703-590-6928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3299 WOODBURN RD",
"address_2": "STE 440 DR J DOUGLAS WOODDELL",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "22003",
"telephone_number": "703-698-9698",
"fax_number": "703-849-0935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEIST",
"first_name": "KIM",
"middle_name": "LIVEZEY",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "VA",
"license": "0402001879",
"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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.