Individual provider Active NPI

Lynn Poole Breeding, L.AC., M.AC.

  • Acupuncturist
  • Eldersburg, MD
National Provider Identifier
1073797734
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U-01538 Issued in MD
Practice address
1702 Liberty Rd
1St Floor
Eldersburg, MD 21784-6515
Phone
(410) 552-9858
NPI assigned
Dec 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U-01538 MD Primary

Addresses

Primary practice location

1702 Liberty Rd
1St Floor
Eldersburg, MD 21784-6515

Mailing address

1702 Liberty Rd
1St Floor
Eldersburg, MD 21784-6515
Phone (410) 552-9858

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
U-01538MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1073797734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 LIBERTY RD",
            "address_2": "1ST FLOOR",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846515",
            "telephone_number": "410-552-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 LIBERTY RD",
            "address_2": "1ST FLOOR",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846515",
            "telephone_number": "410-552-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDING",
        "first_name": "LYNN",
        "middle_name": "POOLE",
        "name_prefix": "Ms.",
        "credential": "L.AC., M.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U-01538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.