Active NPI
Sherrie Trede Black, L.AC.
- Acupuncturist
- Columbia, MD
National Provider Identifier
1124402524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U-01429
- Practice address
- 10436 Owen Brown Rd.
Columbia, MD 21044 - Phone
- (410) 707-0168
- Fax
- (410) 992-5424
- NPI assigned
- Jul 15, 2015
- 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 | U-01429 | MD | Primary |
Addresses
Primary practice location
10436 Owen Brown Rd.
Columbia, MD 21044
Mailing address
1321 Generals Highway
Suite 203
Crownsville, MD 21032
Phone (410) 923-0090
Other names 1
- Sherrie Marie Trede
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 |
|---|---|---|---|
| U-01429 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1124402524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 GENERALS HIGHWAY",
"address_2": "SUITE 203",
"city": "CROWNSVILLE",
"state": "MD",
"postal_code": "21032",
"telephone_number": "410-923-0090",
"fax_number": "410-923-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10436 OWEN BROWN RD.",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21044",
"telephone_number": "410-707-0168",
"fax_number": "410-992-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "SHERRIE",
"middle_name": "TREDE",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-15",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U-01429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHERRIE",
"last_name": "TREDE",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}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 Jul 15, 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.