Active NPI
Louise Eileen Davis, M.AC, DIPL.AC., L.AC
- Acupuncturist
- Herndon, VA
National Provider Identifier
1548554181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0121000625
- Practice address
- 13455 Sunrise Valley Dr
Herndon, VA 20171-3295 - Phone
- (703) 380-2084
- NPI assigned
- May 31, 2011
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0121000625 | VA | Primary |
Addresses
Primary practice location
13455 Sunrise Valley Dr
Herndon, VA 20171-3295
Mailing address
9501 Neuse Way
Great Falls, VA 22066-3810
Phone (703) 380-2084
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 |
|---|---|---|---|
| 0121000625 | VA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306800000000",
"number": "1548554181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9501 NEUSE WAY",
"city": "GREAT FALLS",
"state": "VA",
"postal_code": "220663810",
"telephone_number": "703-380-2084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13455 SUNRISE VALLEY DR",
"city": "HERNDON",
"state": "VA",
"postal_code": "201713295",
"telephone_number": "703-380-2084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LOUISE",
"middle_name": "EILEEN",
"credential": "M.AC, DIPL.AC., L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-31",
"last_updated": "2011-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "VA",
"license": "0121000625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.