Individual provider Active NPI

Nathalie Depastas, LIC.AC, LMT

  • Acupuncturist
  • Falls Church, VA
National Provider Identifier
1477721348
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121000297 Issued in VA
Practice address
1810 Anderson Rd
Falls Church, VA 22043-1140
Phone
(703) 448-3010
Fax
(703) 790-7717
NPI assigned
Feb 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0121000297 VA Primary

Addresses

Primary practice location

1810 Anderson Rd
Falls Church, VA 22043-1140

Mailing address

1810 Anderson Rd
Falls Church, VA 22043-1140
Phone (703) 448-3010

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
0121000297VAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1477721348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 ANDERSON RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220431140",
            "telephone_number": "703-448-3010",
            "fax_number": "703-790-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 ANDERSON RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220431140",
            "telephone_number": "703-448-3010",
            "fax_number": "703-790-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPASTAS",
        "first_name": "NATHALIE",
        "credential": "LIC.AC, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.