Active NPI
Gina Olenick
- Acupuncturist
- Crofton, MD
National Provider Identifier
1114322401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U02189
- Practice address
- 2411 Crofton LN
Suite 17a
Crofton, MD 21114-1304 - Phone
- (410) 721-5742
- NPI assigned
- Oct 29, 2014
- 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 | U02189 | MD | Primary |
Addresses
Primary practice location
2411 Crofton LN
Suite 17a
Crofton, MD 21114-1304
Mailing address
2411 Crofton LN
Suite 17a
Crofton, MD 21114-1304
Phone (410) 721-5742
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 |
|---|---|---|---|
| U02189 | MD | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penny S. Todd | Acupuncturist | Past | 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
- Crofton, MD
- NPI 1154518496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439683200000",
"number": "1114322401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 CROFTON LN",
"address_2": "SUITE 17A",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141304",
"telephone_number": "410-721-5742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 CROFTON LN",
"address_2": "SUITE 17A",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141304",
"telephone_number": "410-721-5742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLENICK",
"first_name": "GINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-29",
"last_updated": "2015-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U02189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.