Active NPI
Jacobra LLC
- Other Technician
- Herndon, VA
National Provider Identifier
1760922975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Legal business name
- JACOBRA LLC
- Practice address
- 455 Carlisle Dr Ste B
Herndon, VA 20170-5621 - Phone
- (703) 303-1576
- NPI assigned
- Mar 7, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darlene Laframboise
- Title
- Owner
- Phone
- (703) 303-1576
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
455 Carlisle Dr Ste B
Herndon, VA 20170-5621
Mailing address
455 Carlisle Dr Ste B
Herndon, VA 20170-5621
Phone (703) 303-1576
Other names 1
- Lice Clinics of America - NOVA
National Provider Directory
National Provider DirectoryLocations
455 Carlisle Dr
Ste B
Herndon, VA 20170
Phone (703) 303-1576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488844800000",
"number": "1760922975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 CARLISLE DR STE B",
"city": "HERNDON",
"state": "VA",
"postal_code": "201705621",
"telephone_number": "703-303-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 CARLISLE DR STE B",
"city": "HERNDON",
"state": "VA",
"postal_code": "201705621",
"telephone_number": "703-303-1576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACOBRA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-07",
"last_updated": "2017-03-07",
"status": "A",
"authorized_official_last_name": "LAFRAMBOISE",
"authorized_official_first_name": "DARLENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-303-1576"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lice Clinics of America - NOVA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.