NPIMap

Organization Active NPI

Bluegreen Acupuncture & Bodywork LLC

  • Acupuncturist
  • Baltimore, MD
National Provider Identifier
1063956217
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01809 Issued in MD
Legal business name
BLUEGREEN ACUPUNCTURE & BODYWORK LLC
Practice address
222 W Cold Spring LN
Ste B
Baltimore, MD 21210-2800
Phone
(443) 939-4834
NPI assigned
Dec 7, 2016
Last updated
Dec 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Erin E MitchellNPI 1639498470
Title
Owner
Phone
(443) 939-4834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X U01809 MD Primary

Addresses

Primary practice location

222 W Cold Spring LN
Ste B
Baltimore, MD 21210-2800

Mailing address

222 W Cold Spring LN
Ste B
Baltimore, MD 21210-2800
Phone (443) 939-4834

National Provider Directory

National Provider Directory
Tax ID family
Bluegreen Acupuncture and Bodywork2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

222 W Cold Spring Ln
Ste B
Baltimore, MD 21210
Phone (410) 929-1596

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1063956217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W COLD SPRING LN",
            "address_2": "STE B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102800",
            "telephone_number": "443-939-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W COLD SPRING LN",
            "address_2": "STE B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102800",
            "telephone_number": "443-939-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGREEN ACUPUNCTURE & BODYWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-939-4834"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 7, 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.