Individual provider Active NPI

Jamie Wick

  • Acupuncturist
  • Bethesda, MD
National Provider Identifier
1255821468
Registry record updated Jun 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC500196 Issued in DC
Practice address
4853 Cordell Ave PH 10
Bethesda, MD 20814-3036
Phone
(347) 257-0181
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U02162 MD
Acupuncturist 171100000X AC500196 DC Primary

Addresses

Primary practice location

4853 Cordell Ave PH 10
Bethesda, MD 20814-3036

Mailing address

804 Somerset PL NW
Washington, DC 20011-1133

Other practice location 1

3 Washington Cir NW Ste 403
Washington, DC 20037-2362
Phone (240) 903-0826

Other practice location 2

6935 Laurel Ave Ste 203
Takoma Park, MD 20912-4413
Phone (240) 903-0826

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
AC500196DCMDAcupuncturist
U02162MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Point of Light LLC Acupuncturist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559433600000",
    "number": "1255821468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SOMERSET PL NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4853 CORDELL AVE PH 10",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143036",
            "telephone_number": "347-257-0181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Washington Cir NW Ste 403",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200372362",
            "country_code": "US",
            "telephone_number": "240-903-0826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6935 Laurel Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Takoma Park",
            "state": "MD",
            "postal_code": "209124413",
            "country_code": "US",
            "telephone_number": "240-903-0826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICK",
        "first_name": "JAMIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2019-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02162",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "DC",
            "license": "AC500196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2019; 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.