Active NPI
Cristina Marie Minetola, LAC
- Acupuncturist
- Annapolis, MD
National Provider Identifier
1073264198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U01464
- Practice address
- 108 Old Solomons Island Rd Ste U6
Annapolis, MD 21401-3848 - Phone
- (410) 224-0084
- NPI assigned
- Jan 11, 2022
- 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 | U01464 | MD | Primary |
Addresses
Primary practice location
108 Old Solomons Island Rd Ste U6
Annapolis, MD 21401-3848
Mailing address
1287 Rossback Rd
Davidsonville, MD 21035-1123
Phone (443) 404-1778
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 |
|---|---|---|---|
| U01464 | MD | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cristina Marie Gaetano Minetola | Acupuncturist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Annapolis, MD
- NPI 1932220894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1073264198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1287 ROSSBACK RD",
"city": "DAVIDSONVILLE",
"state": "MD",
"postal_code": "210351123",
"telephone_number": "443-404-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 OLD SOLOMONS ISLAND RD STE U6",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013848",
"telephone_number": "410-224-0084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINETOLA",
"first_name": "CRISTINA",
"middle_name": "MARIE",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-11",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U01464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.