Active NPI
Lisa Carol Eaves, L. AC., DIPL. AC.
- Acupuncturist
- Washington, DC
National Provider Identifier
1619225588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC30058
- Practice address
- 4545 42ND St NW
Ste 301
Washington, DC 20016-4623 - Phone
- (202) 244-2289
- NPI assigned
- Aug 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | AC30058 | DC | Primary |
Addresses
Primary practice location
4545 42ND St NW
Ste 301
Washington, DC 20016-4623
Mailing address
4545 42ND St NW
Ste 301
Washington, DC 20016-4623
Phone (202) 244-2289
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 |
|---|---|---|---|
| AC30058 | DC | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345939200000",
"number": "1619225588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 42ND ST NW",
"address_2": "STE 301",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164623",
"telephone_number": "202-244-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 42ND ST NW",
"address_2": "STE 301",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164623",
"telephone_number": "202-244-2289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAVES",
"first_name": "LISA",
"middle_name": "CAROL",
"credential": "L. AC., DIPL. AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-26",
"last_updated": "2012-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "DC",
"license": "AC30058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.