NPIMap

Organization Active NPI

LM at Bluegreen

  • Acupuncturist
  • Baltimore, MD
National Provider Identifier
1063846574
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01822 Issued in MD
Legal business name
LM AT BLUEGREEN
Practice address
301 W 29TH St
Suite 2001
Baltimore, MD 21211-2910
Phone
(443) 388-1110
NPI assigned
Sep 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Authorized official

Name
Leonora Gevaerd Manekin, LAC, MACNPI 1255645867
Title
Business Owner
Phone
(443) 388-1110

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X U01822 MD Primary

Addresses

Primary practice location

301 W 29TH St
Suite 2001
Baltimore, MD 21211-2910

Mailing address

301 W 29TH St
Suite 2001
Baltimore, MD 21211-2910
Phone (443) 388-1110

Other names 1

  • BlueGreen Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

301 W 29th St
Ste 2001
Baltimore, MD 21211
Phone (443) 388-1110

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": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1063846574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W 29TH ST",
            "address_2": "SUITE 2001",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112910",
            "telephone_number": "443-388-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 29TH ST",
            "address_2": "SUITE 2001",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112910",
            "telephone_number": "443-388-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LM AT BLUEGREEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "MANEKIN",
        "authorized_official_first_name": "LEONORA",
        "authorized_official_middle_name": "GEVAERD",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "443-388-1110",
        "authorized_official_credential": "LAC, MAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BlueGreen Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.