Active NPI
Integrative Family Medicine, LLC
- Family Medicine Physician
- Columbia, MD
National Provider Identifier
1144576307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- INTEGRATIVE FAMILY MEDICINE, LLC
- Practice address
- 10440 Shaker Dr Ste 103&203
Columbia, MD 21046-1200 - Phone
- (888) 953-0005
- Fax
- (301) 302-0799
- NPI assigned
- Jul 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Rabenhorst, MD, MAC, LAC
- Title
- Owner, Doctor
- Phone
- (888) 953-0005
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Medical Physician Assistant | 363AM0700X |
Addresses
Primary practice location
10440 Shaker Dr Ste 103&203
Columbia, MD 21046-1200
Mailing address
10440 Shaker Dr Ste 103&203
Columbia, MD 21046-1200
Phone (888) 953-0005
National Provider Directory
National Provider DirectoryLocations
10440 Shaker Dr
Ste 103203
Columbia, MD 21046
Phone (888) 953-0005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343174400000",
"number": "1144576307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10440 SHAKER DR STE 103&203",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461200",
"telephone_number": "888-953-0005",
"fax_number": "301-302-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10440 SHAKER DR STE 103&203",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461200",
"telephone_number": "888-953-0005",
"fax_number": "301-302-0799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE FAMILY MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-25",
"last_updated": "2012-07-25",
"status": "A",
"authorized_official_last_name": "RABENHORST",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER, DOCTOR",
"authorized_official_telephone_number": "888-953-0005",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, MAC, LAC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.