Active NPI
Greenspring Herbs, LLC
- Nutritionist
- Columbia, MD
National Provider Identifier
1275075210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- DX3409
- Legal business name
- GREENSPRING HERBS, LLC
- Practice address
- 9170 Route 108
Suite 202
Columbia, MD 21045-1987 - Phone
- (410) 258-9625
- NPI assigned
- Nov 8, 2016
- Last updated
- Nov 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jillian Ann Bar-Av, LDN
- Title
- Clinical Herbalist & Nutritionist
- Phone
- (410) 258-9625
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | DX3409 | MD | Primary |
Addresses
Primary practice location
9170 Route 108
Suite 202
Columbia, MD 21045-1987
Mailing address
12230 Greenpsring Ave.
Owings Mills, MD 21117
Phone (410) 258-9625
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478563200000",
"number": "1275075210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12230 GREENPSRING AVE.",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "21117",
"telephone_number": "410-258-9625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9170 ROUTE 108",
"address_2": "SUITE 202",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210451987",
"telephone_number": "410-258-9625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENSPRING HERBS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-08",
"last_updated": "2016-11-08",
"status": "A",
"authorized_official_last_name": "BAR-AV",
"authorized_official_first_name": "JILLIAN",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CLINICAL HERBALIST & NUTRITIONIST",
"authorized_official_telephone_number": "410-258-9625",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LDN"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist",
"state": "MD",
"license": "DX3409",
"primary": true
}
],
"identifiers": [],
"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 Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.