NPIMap

Organization Active NPI

Lavender Retreat, Inc

  • Acupuncturist
  • Washington, DC
National Provider Identifier
1689229585
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
LAVENDER RETREAT, INC
Practice address
1236 Pennsylvania Ave SE
Washington, DC 20003-2226
Phone
(703) 627-8098
Fax
(202) 847-0947
NPI assigned
Aug 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Authorized official

Name
Jaime S Bohl
Title
Founder/Ceo
Phone
(703) 627-8098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1236 Pennsylvania Ave SE
Washington, DC 20003-2226

Mailing address

1236 Pennsylvania Ave SE
Washington, DC 20003-2226
Phone (703) 627-8098

Other names 1

  • Lavender Retreat, Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

1236 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 450-2329

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1689229585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032226",
            "telephone_number": "703-627-8098",
            "fax_number": "202-847-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032226",
            "telephone_number": "703-627-8098",
            "fax_number": "202-847-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER RETREAT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "BOHL",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "703-627-8098"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lavender Retreat, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 7, 2019; 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.