Active NPI
Marilyn Ann Burdekin, LIC. ACUPUNCTURIST
- Acupuncturist
- Columbia, MD
National Provider Identifier
1093997652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U01074
- Practice address
- 9170 Route 108 Ste 202
Columbia, MD 21045-1988 - Phone
- (410) 491-6206
- NPI assigned
- Dec 5, 2007
- 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 | U01074 | MD | Primary |
Addresses
Primary practice location
9170 Route 108 Ste 202
Columbia, MD 21045-1988
Mailing address
4721 Rams Horn Row
Ellicott City, MD 21042-5981
Phone (410) 491-6206
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 |
|---|---|---|---|
| U01074 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1093997652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4721 RAMS HORN ROW",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210425981",
"telephone_number": "410-491-6206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9170 ROUTE 108 STE 202",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210451988",
"telephone_number": "410-491-6206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDEKIN",
"first_name": "MARILYN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LIC. ACUPUNCTURIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-05",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U01074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.