Individual provider Active NPI

Jessica Moody, LAC

  • Acupuncturist
  • Springfield, VA
National Provider Identifier
1457055675
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121001087 Issued in VA
Practice address
8346 Traford LN Ste B106
Springfield, VA 22152-1665
Phone
(703) 563-2128
NPI assigned
Mar 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0121001087 VA Primary

Addresses

Primary practice location

8346 Traford LN Ste B106
Springfield, VA 22152-1665

Mailing address

1908 Reston Metro PLZ Apt 1909
Reston, VA 20190-5944
Phone (512) 230-3929

Other practice location 1

1908 Reston Metro Plz Apt 1909
Reston, VA 20190-5944
Phone (512) 230-3929

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
0121001087VAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Acupuncture LLC Acupuncturist CurrentSince Apr 6, 2023 Accepting new patients
Love Acupuncture Acupuncturist PastSince Oct 20, 2019 Accepting new patients

Locations

8346 Traford Ln
Ste B106
Springfield, VA 22152
Phone (703) 563-2128

8136 Old Keene Mill Rd
Ste B102
Springfield, VA 22152
Phone (703) 451-8881

Organizations & group practices 2

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": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1457055675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 RESTON METRO PLZ APT 1909",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905944",
            "telephone_number": "512-230-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8346 TRAFORD LN STE B106",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521665",
            "telephone_number": "703-563-2128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1908 Reston Metro Plz Apt 1909",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201905944",
            "country_code": "US",
            "telephone_number": "512-230-3929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOODY",
        "first_name": "JESSICA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121001087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.