NPIMap

Organization Active NPI

Sagelight Integrative Wellness Center

  • Acupuncturist
  • Columbia, MD
National Provider Identifier
1215413273
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01054 Issued in MD
Legal business name
SAGELIGHT INTEGRATIVE WELLNESS CENTER
Practice address
10450 Shaker Dr Ste 113
Columbia, MD 21046-2351
Phone
(410) 730-1499
NPI assigned
Jul 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Authorized official

Name
Renee McSwainNPI 1720564420
Title
Owner
Phone
(410) 730-1499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X U01054 MD Primary

Addresses

Primary practice location

10450 Shaker Dr Ste 113
Columbia, MD 21046-2351

Mailing address

10450 Shaker Dr Ste 113
Columbia, MD 21046-2351
Phone (410) 730-1499

Other identifiers 1

IdentifierTypeStateIssuer
1518182740OtherMDNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1215413273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 SHAKER DR STE 113",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462351",
            "telephone_number": "410-730-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 SHAKER DR STE 113",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462351",
            "telephone_number": "410-730-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGELIGHT INTEGRATIVE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "MCSWAIN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-730-1499"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518182740",
            "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 12, 2018; 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.