Active NPI
Chettia Provost, DC
- Chiropractor
- Alexandria, VA
National Provider Identifier
1912308784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104557189
- Practice address
- 1240 N Pitt St
Alexandria, VA 22314-5600 - Phone
- (703) 739-0456
- Fax
- (703) 739-0032
- NPI assigned
- Sep 11, 2014
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104557189 | VA | Primary |
Addresses
Primary practice location
1240 N Pitt St
Alexandria, VA 22314-5600
Mailing address
1240 N Pitt St
Alexandria, VA 22314-5600
Phone (703) 739-0456
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1912308784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 N PITT ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223145600",
"telephone_number": "703-739-0456",
"fax_number": "703-739-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 N PITT ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223145600",
"telephone_number": "703-739-0456",
"fax_number": "703-739-0032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROVOST",
"first_name": "CHETTIA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.