Individual provider Active NPI

Pamela R Gandy, M.AC., L.AC.

  • Acupuncturist
  • Columbia, MD
National Provider Identifier
1164768701
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U00820 Issued in MD
Practice address
6115 Timothy CT
Columbia, MD 21044-3861
Phone
(410) 964-1731
Fax
(410) 964-1731
NPI assigned
Jan 1, 2013
Last updated
Feb 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U00820 MD Primary

Addresses

Primary practice location

6115 Timothy CT
Columbia, MD 21044-3861

Mailing address

6115 Timothy CT
Columbia, MD 21044-3861
Phone (410) 964-1731

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

LicenseStateTypeSpecialty
U00820MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1356998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1164768701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 TIMOTHY CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443861",
            "telephone_number": "410-964-1731",
            "fax_number": "410-964-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 TIMOTHY CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443861",
            "telephone_number": "410-964-1731",
            "fax_number": "410-964-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDY",
        "first_name": "PAMELA",
        "middle_name": "R",
        "credential": "M.AC., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-01",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U00820",
            "primary": true
        }
    ],
    "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 Feb 19, 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.

Verify at the official NPI Registry.