Active NPI
Tracey Walker, DOM
- Acupuncturist
- Bowie, MD
National Provider Identifier
1124904453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- UO3221
- Practice address
- 4410 Saddle River Dr
Bowie, MD 20720-3456 - Phone
- (301) 532-6914
- NPI assigned
- Aug 13, 2025
- 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 | UO3221 | MD | Primary |
Addresses
Primary practice location
4410 Saddle River Dr
Bowie, MD 20720-3456
Mailing address
4410 Saddle River Dr
Bowie, MD 20720-3456
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 |
|---|---|---|---|
| UO3221 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1124904453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 SADDLE RIVER DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207203456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 SADDLE RIVER DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207203456",
"telephone_number": "301-532-6914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "TRACEY",
"credential": "DOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-13",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "UO3221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.