Individual provider Active NPI

Clayton Elizabeth Spivey, L.AC.,M.AC, DIPL.AC.

  • Acupuncturist
  • Columbia, MD
National Provider Identifier
1215062781
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U-411 Issued in MD
Practice address
8342 Old Montgomery Rd
Columbia, MD 21045-2640
Phone
(410) 799-5883
Fax
(410) 799-5886
NPI assigned
Feb 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U-411 MD Primary

Addresses

Primary practice location

8342 Old Montgomery Rd
Columbia, MD 21045-2640

Mailing address

8342 Old Montgomery Rd
Columbia, MD 21045-2640
Phone (410) 799-5883

Other identifiers 1

IdentifierTypeStateIssuer
U-411OtherMDLICENSE

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
U-411MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215062781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8342 OLD MONTGOMERY RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452640",
            "telephone_number": "410-799-5883",
            "fax_number": "410-799-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8342 OLD MONTGOMERY RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452640",
            "telephone_number": "410-799-5883",
            "fax_number": "410-799-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "CLAYTON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "L.AC.,M.AC, DIPL.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U-411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "U-411",
            "state": "MD"
        }
    ],
    "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 8, 2007; 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.