Active NPI
Celeste Joyce Homan, L.AC.
- Acupuncturist
- Fulton, MD
National Provider Identifier
1033303334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U00749
- Practice address
- 12185 Lime Kiln Rd
Fulton, MD 20759-9612 - Phone
- (301) 725-3606
- NPI assigned
- Aug 29, 2007
- Last updated
- Aug 30, 2007
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U00749 | MD | Primary |
Addresses
Primary practice location
12185 Lime Kiln Rd
Fulton, MD 20759-9612
Mailing address
12185 Lime Kiln Rd
Fulton, MD 20759-9612
Phone (301) 725-3606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BL78 | Other | MD | MD BCBS |
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 |
|---|---|---|---|
| U00749 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1033303334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12185 LIME KILN RD",
"city": "FULTON",
"state": "MD",
"postal_code": "207599612",
"telephone_number": "301-725-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12185 LIME KILN RD",
"city": "FULTON",
"state": "MD",
"postal_code": "207599612",
"telephone_number": "301-725-3606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMAN",
"first_name": "CELESTE",
"middle_name": "JOYCE",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-29",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U00749",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD BCBS",
"identifier": "BL78",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fulton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.