Individual provider Active NPI

Amina Tamzali Michael, LAC., M.A.O.M

  • Acupuncturist
  • Chevy Chase, MD
National Provider Identifier
1174089643
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02517 Issued in MD
Practice address
5530 Wisconsin Ave Ste 1550
Chevy Chase, MD 20815-4319
Phone
(571) 201-4547
NPI assigned
Feb 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U02517 MD Primary

Addresses

Primary practice location

5530 Wisconsin Ave Ste 1550
Chevy Chase, MD 20815-4319

Mailing address

4620 N Park Ave Apt 1003W
Chevy Chase, MD 20815-4593
Phone (571) 201-4547

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
U02517MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1174089643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 N PARK AVE APT 1003W",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154593",
            "telephone_number": "571-201-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1550",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154319",
            "telephone_number": "571-201-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMZALI MICHAEL",
        "first_name": "AMINA",
        "credential": "LAC., M.A.O.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.