Tawny Nicole Banville

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U03049 Issued in MD

Practice address

603 W Patrick St Ste B
Frederick, MD 21701-4090

Phone

(301) 620-1414

NPI assigned

Oct 17, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Boonsboro Wellness Center, Inc.

  • Acupuncturist
  • Boonsboro, MD
  • NPI 1205956141
  NPD (past)
• Holistic Health Associates

  • Acupuncturist
  • Frederick, MD
  • NPI 1669651113
  NPD (past)

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1083496897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 VIRGINIA AVE",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111309",
            "telephone_number": "540-539-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 W PATRICK ST STE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014090",
            "telephone_number": "301-620-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 S Main St",
            "address_purpose": "LOCATION",
            "city": "Boonsboro",
            "state": "MD",
            "postal_code": "217131236",
            "country_code": "US",
            "telephone_number": "301-432-4940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANVILLE",
        "first_name": "TAWNY",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U03049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ballenger Creek Counseling LLC
• Miguel Ballon, COTA/L
• Mariama Jojo Bangura
• Kevin Michael Banks, D.D.S.
• Haidy M Banoub, PHARMACIST
• Ranwei Bao
• Crystal Baptiste, LCPC
• Kusay Barakat, M.D.
• Bianca Alexandra Barbazette, RBT
• Samantha Kay Barbeito

• Acupuncturist in Frederick, MD
• Providers in Frederick, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.