Active NPI
Charlotte M Fandey, L.AC.
- Acupuncturist
- Reston, VA
National Provider Identifier
1669750576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0121000283
- Practice address
- 11408 Links Dr
Reston, VA 20190-4810 - Phone
- (703) 626-4326
- NPI assigned
- Jul 26, 2011
- 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 | 0121000283 | VA | Primary |
Addresses
Primary practice location
11408 Links Dr
Reston, VA 20190-4810
Mailing address
11408 Links Dr
Reston, VA 20190-4810
Phone (703) 626-4326
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 |
|---|---|---|---|
| 0121000283 | VA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311638400000",
"number": "1669750576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11408 LINKS DR",
"city": "RESTON",
"state": "VA",
"postal_code": "201904810",
"telephone_number": "703-626-4326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11408 LINKS DR",
"city": "RESTON",
"state": "VA",
"postal_code": "201904810",
"telephone_number": "703-626-4326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANDEY",
"first_name": "CHARLOTTE",
"middle_name": "M",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-26",
"last_updated": "2011-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "VA",
"license": "0121000283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reston, VA
- Fairfax Family Practice Centers PC (Town Center Family Medicine)
- Fairfax Radiological Consultants PC
- Family Compass, PLLC
- Family Healthcare Corp
- Family Therapy Institute of Washington LLC
- Sarah Kathleen Fangmeyer, DO
- Edward David Farber, PHD
- Julie Lee Farley-Pina, M.D.
- Alyssa Muhsana Farooque, MD
- Farrell Pediatrics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.