NPIMap

Organization Active NPI

Bluegreen Acupuncture and Bodywork

  • Acupuncturist
  • Baltimore, MD
National Provider Identifier
1124335682
Registry record updated Sep 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BLUEGREEN ACUPUNCTURE AND BODYWORK
Practice address
1515 Labelle Ave
Baltimore, MD 21204-6606
Phone
(443) 388-1110
NPI assigned
Sep 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2010

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

Authorized official

Name
Mrs. Leonora Gevaerd Manekin, L.AC
Title
Acupuncturist
Phone
(443) 388-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1515 Labelle Ave
Baltimore, MD 21204-6606

Mailing address

1515 Labelle Ave
Baltimore, MD 21204-6606
Phone (443) 388-1110

National Provider Directory

National Provider Directory
Tax ID family
Bluegreen Acupuncture and Bodywork2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1283731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283731200000",
    "number": "1124335682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 LABELLE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046606",
            "telephone_number": "443-388-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 LABELLE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046606",
            "telephone_number": "443-388-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGREEN ACUPUNCTURE AND BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-06",
        "last_updated": "2010-09-06",
        "status": "A",
        "authorized_official_last_name": "MANEKIN",
        "authorized_official_first_name": "LEONORA",
        "authorized_official_middle_name": "GEVAERD",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "443-388-1110",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2010; 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.