Mary Shardae Lewis, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U03140 Issued in MD

Practice address

683 Old Mill Rd
Millersville, MD 21108-1326

Phone

(410) 729-2200

NPI assigned

Sep 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Effective Integrative Healthcare, LLC

  • Physical Medicine & Rehabilitation Physician
  • Millersville, MD
  • NPI 1568707081
  NPD (past)

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1154148245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 DAWN PL APT C",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334621615",
            "telephone_number": "954-939-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 OLD MILL RD",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081326",
            "telephone_number": "410-729-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARY",
        "middle_name": "SHARDAE",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U03140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lean on Dee Senior Home Care Services LLC
• Melanie E Lebrun, LGPC
• Lucas Austin Lengrand, LCSW-C
• Tracey Letourneau, LMSW
• Shira Levy, MA, CAS, NCSP, MAPP
• Jessica Marie Lindsay, LCPC
• Rochelle Leslie Longkeng, PHARMD
• Barbara Grayson Love, PH.D.
• Tara Luecking, LCPC
• LZ PT and Wellness, LLC

• Acupuncturist in Millersville, MD
• Providers in Millersville, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; 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.