Individual provider Active NPI

Tracy Lynn Hackett, L.AC.

  • Acupuncturist
  • Washington, DC
National Provider Identifier
1649450784
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC500088 Issued in DC
Practice address
1010 Wisconsin Ave NW
Suite 280
Washington, DC 20007-3603
Phone
(202) 651-0884
Fax
(202) 248-3690
NPI assigned
Nov 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC500088 DC Primary

Addresses

Primary practice location

1010 Wisconsin Ave NW
Suite 280
Washington, DC 20007-3603

Mailing address

4108 Beecher St NW
Apt 202
Washington, DC 20007-4937
Phone (202) 651-0884

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
AC500088DCMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Holistic Arts PLLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1649450784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 BEECHER ST NW",
            "address_2": "APT 202",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200074937",
            "telephone_number": "202-651-0884",
            "fax_number": "202-248-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WISCONSIN AVE NW",
            "address_2": "SUITE 280",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200073603",
            "telephone_number": "202-651-0884",
            "fax_number": "202-248-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "DC",
            "license": "AC500088",
            "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 Mar 6, 2013; 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.