Individual provider Active NPI

Jouyu Yeh, LAC

  • Acupuncturist
  • MC Lean, VA
National Provider Identifier
1700532173
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121001149 Issued in VA
Practice address
1313 Dolley Madison Blvd Ste 204
MC Lean, VA 22101-3974
Phone
(571) 248-7773
NPI assigned
Feb 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0121001149 VA Primary
Acupuncturist 171100000X AC02052 TX

Addresses

Primary practice location

1313 Dolley Madison Blvd Ste 204
MC Lean, VA 22101-3974

Mailing address

1313 Dolley Madison Blvd Ste 204
MC Lean, VA 22101-3974
Phone (571) 248-7773

Other practice location 1

13740 N US Highway 183 Ste E4
Austin, TX 78750-1821
Phone (512) 937-3999

Other practice location 2

11322Q St
Omaha, NE 68137
Phone (888) 955-2352

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
AC02052TXMDAcupuncturist
0121001149VAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Acupuncture at McLean, LLC Acupuncturist CurrentSince Apr 9, 2024 Accepting new patients

Locations

1313 Dolley Madison Blvd
Ste 204
Mc Lean, VA 22101
Phone (571) 248-7773

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": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1700532173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 DOLLEY MADISON BLVD STE 204",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013974",
            "telephone_number": "571-248-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 DOLLEY MADISON BLVD STE 204",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013974",
            "telephone_number": "571-248-7773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13740 N US Highway 183 Ste E4",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787501821",
            "country_code": "US",
            "telephone_number": "512-937-3999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11322Q St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "68137",
            "country_code": "US",
            "telephone_number": "888-955-2352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEH",
        "first_name": "JOUYU",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2024-04-05",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121001149",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC02052",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.