Individual provider Active NPI

Liza Watkins, LAC

  • Acupuncturist
  • Germantown, MD
National Provider Identifier
1245883065
Registry record updated Mar 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02628 Issued in MD
Practice address
13217 Executive Park Ter
Germantown, MD 20874-2647
Phone
(240) 686-5196
Fax
(844) 579-0086
NPI assigned
Jul 21, 2019
Last updated
Mar 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U02628 MD Primary

Addresses

Primary practice location

13217 Executive Park Ter
Germantown, MD 20874-2647

Mailing address

23908 Janbeall CT
Clarksburg, MD 20871-9205
Phone (240) 686-5196

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL acupuncture.liza@gmail.com
Other URL www.watkinsacupunctureclinic.com Direct
Other URL acupuncture.liza@gmail.com Direct

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
U02628MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Watkins Acupuncture Clinic, LLC Acupuncturist CurrentSince Jul 28, 2019 Accepting new patients

Locations

13217 Executive Park Ter
Germantown, MD 20874
Phone (301) 916-2600

7750 Montpelier Rd
Laurel, MD 20723
Phone (410) 888-9048

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647043200000",
    "number": "1245883065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23908 JANBEALL CT",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208719205",
            "telephone_number": "240-686-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13217 EXECUTIVE PARK TER",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742647",
            "telephone_number": "240-686-5196",
            "fax_number": "844-579-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "LIZA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-21",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "acupuncture.liza@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "23908 Janbeall Ct",
            "city": "Clarksburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208719205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.watkinsacupunctureclinic.com",
            "affiliation": "N",
            "endpointDescription": "Clinic Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13217 Executive Park Ter",
            "city": "Germantown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208742647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "acupuncture.liza@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13217 Executive Park Ter",
            "city": "Germantown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208742647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.