Dianne Mary Connelly, PH.D., L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U00111 Issued in MD

Practice address

8955 Guilford Rd
Suite 240
Columbia, MD 21046-2651

Phone

(443) 393-2650

Fax

(443) 276-6841

NPI assigned

Apr 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1184849317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8955 GUILFORD RD",
            "address_2": "SUITE 240",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462651",
            "telephone_number": "443-393-2650",
            "fax_number": "443-276-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 GUILFORD RD",
            "address_2": "SUITE 240",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462651",
            "telephone_number": "443-393-2650",
            "fax_number": "443-276-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "DIANNE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U00111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST NON-PAR NO.",
            "identifier": "412181-03",
            "state": "MH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Eugene Conley, M.D.
• Patrick Eugene Connealy, LCSW-C
• Connect Counseling Services, LLC
• Connect Five ABA Therapy
• Jade Connelly-Duggan, M.AC., L.AC.
• Brittney Conner
• Christine Marie Conner, R.N.
• Andrew Connor, D.O.
• Anne M Connor, RN
• Sarah L Connor, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.