Organization Active NPI

Harbor Holistic Healing, LLC

  • Health Service Clinic/Center
  • Severna Park, MD
National Provider Identifier
1033737838
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
HARBOR HOLISTIC HEALING, LLC
Practice address
86 Kennedy Dr
Severna Park, MD 21146-3008
Phone
(443) 474-3631
Fax
(410) 874-0131
NPI assigned
Jul 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Lydia Ellen Wainwright, M.AC, LIC.ACNPI 1952437717
Title
Owner/Acupuncturist
Phone
(443) 474-3631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

86 Kennedy Dr
Severna Park, MD 21146-3008

Mailing address

85 Two Rivers Dr
Edgewater, MD 21037-2677
Phone (410) 855-3144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lydia@lydiawainwright.com

National Provider Directory

National Provider Directory

Locations

86 Kennedy Dr
Severna Park, MD 21146
Phone (443) 474-3631

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1033737838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 TWO RIVERS DR",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372677",
            "telephone_number": "410-855-3144",
            "fax_number": "410-874-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 KENNEDY DR",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463008",
            "telephone_number": "443-474-3631",
            "fax_number": "410-874-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOLISTIC HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "WAINWRIGHT",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "443-474-3631",
        "authorized_official_credential": "M.AC, LIC.AC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lydia@lydiawainwright.com",
            "affiliation": "N",
            "address_1": "86 Kennedy Dr",
            "city": "Severna Park",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211463008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.