Active NPI
Roxanne Issurdatt, LAC
- Acupuncturist
- Silver Spring, MD
National Provider Identifier
1972947331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U02041
- Practice address
- 8555 16TH St Ste 402
Silver Spring, MD 20910-2802 - Phone
- (202) 200-1220
- NPI assigned
- Apr 29, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U02041 | MD | Primary |
Addresses
Primary practice location
8555 16TH St Ste 402
Silver Spring, MD 20910-2802
Mailing address
63 Victor St NE
Washington, DC 20011-4939
Phone (202) 200-1220
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
| License | State | Type | Specialty |
|---|---|---|---|
| U02041 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1972947331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 VICTOR ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200114939",
"telephone_number": "202-200-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8555 16TH ST STE 402",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209102802",
"telephone_number": "202-200-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISSURDATT",
"first_name": "ROXANNE",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-29",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U02041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.