Individual provider Active NPI

Roberta Mead, M.AC.

  • Acupuncturist
  • Frederick, MD
National Provider Identifier
1285828004
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01482 Issued in MD
Practice address
1560 Opossumtown Pike
Suite 25
Frederick, MD 21702-4748
Phone
(301) 695-9111
Fax
(301) 695-9112
NPI assigned
Sep 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U01482 MD Primary

Addresses

Primary practice location

1560 Opossumtown Pike
Suite 25
Frederick, MD 21702-4748

Mailing address

1560 Opossumtown Pike
Suite 25
Frederick, MD 21702-4748
Phone (301) 695-9111

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
U01482MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1285828004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 OPOSSUMTOWN PIKE",
            "address_2": "SUITE 25",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024748",
            "telephone_number": "301-695-9111",
            "fax_number": "301-695-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 OPOSSUMTOWN PIKE",
            "address_2": "SUITE 25",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024748",
            "telephone_number": "301-695-9111",
            "fax_number": "301-695-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "ROBERTA",
        "name_prefix": "Mrs.",
        "credential": "M.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.