Individual provider Active NPI

Tamora Rae Marggraf

  • Acupuncturist
  • Berkeley Springs, WV
National Provider Identifier
1073007563
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
96150 Issued in WV
Practice address
356 Morton Grove Rd
Berkeley Springs, WV 25411-1045
Phone
(304) 258-2272
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 96150 WV Primary

Addresses

Primary practice location

356 Morton Grove Rd
Berkeley Springs, WV 25411-1045

Mailing address

PO Box 112
Berkeley Springs, WV 25411-0112

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

LicenseStateTypeSpecialty
96150WVMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1073007563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254110112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 MORTON GROVE RD",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254111045",
            "telephone_number": "304-258-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGGRAF",
        "first_name": "TAMORA",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WV",
            "license": "96150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Springs, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.