Organization Active NPI

Heavenly Bodies Clinic

  • Acupuncturist
  • Arlington, VA
National Provider Identifier
1790204097
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0121000225 Issued in VA
Legal business name
HEAVENLY BODIES CLINIC
Practice address
1305 N Evergreen St
Arlington, VA 22205-2600
Phone
(703) 528-8272
NPI assigned
Sep 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Kathe Ana, L.AC, DAS, BOARD CER
Title
Owner, Acupuncturist
Phone
(703) 528-8272

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 0121000225 VA Primary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X CT-0000004 CT

Addresses

Primary practice location

1305 N Evergreen St
Arlington, VA 22205-2600

Mailing address

1305 N Evergreen St
Arlington, VA 22205-2600
Phone (703) 528-8272

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790204097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N EVERGREEN ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222052600",
            "telephone_number": "703-528-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N EVERGREEN ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222052600",
            "telephone_number": "703-528-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY BODIES CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ANA",
        "authorized_official_first_name": "KATHE",
        "authorized_official_title_or_position": "OWNER, ACUPUNCTURIST",
        "authorized_official_telephone_number": "703-528-8272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC, DAS, BOARD CER"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000225",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "CT-0000004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.