Organization Active NPI

MD Acumed LLC

  • Acupuncturist
  • Kensington, MD
National Provider Identifier
1235840414
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
MD ACUMED LLC
Doing business as
MD AcuMed Integrative Health
Practice address
3720 Farragut Ave Ste 105
Kensington, MD 20895-2110
Phone
(301) 592-9355
NPI assigned
Dec 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Dr. Stephanie M Johnson, DAC, LAC
Title
Owner
Phone
(301) 592-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

3720 Farragut Ave Ste 105
Kensington, MD 20895-2110

Mailing address

3720 Farragut Ave Ste 105
Kensington, MD 20895-2110
Phone (301) 592-9355

Other names 2

  • MD AcuMed Integrative Health Doing business as
  • Anamaya Wellness LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

3720 Farragut Ave
Ste 105
Kensington, MD 20895
Phone (301) 592-9355

10111 Colesville Rd
Ste 119
Silver Spring, MD 20901
Phone (301) 370-4227

10111 Colesville Rd
Ste 123
Silver Spring, MD 20901
Phone (240) 461-1745

Practitioners & affiliated clinicians

Practitioners 2

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": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1235840414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 FARRAGUT AVE STE 105",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952110",
            "telephone_number": "301-592-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 FARRAGUT AVE STE 105",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952110",
            "telephone_number": "301-592-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD ACUMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-592-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAC, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD AcuMed Integrative Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anamaya Wellness LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.