Individual provider Active NPI

Carrie Leigh Durkee Immler, L.AC., M.AC.

  • Acupuncturist
  • Owings Mills, MD
National Provider Identifier
1316233943
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01857 Issued in MD
Practice address
10806 Reisterstown Rd
Suite 1B
Owings Mills, MD 21117-2700
Phone
(410) 925-2126
NPI assigned
Jun 22, 2011
Last updated
Mar 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U01857 MD Primary

Addresses

Primary practice location

10806 Reisterstown Rd
Suite 1B
Owings Mills, MD 21117-2700

Mailing address

202 Stanlake Rd
Owings Mills, MD 21117-1718

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
U01857MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Carrie Durkee Acupuncture, LLC Acupuncturist Current Accepting new patients

Locations

10806 Reisterstown Rd
Ste 1B1
Owings Mills, MD 21117
Phone (410) 356-0796

904 Washington Rd
Ste A
Westminster, MD 21157
Phone (410) 751-9205

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1316233943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 STANLAKE RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10806 REISTERSTOWN RD",
            "address_2": "SUITE 1B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172700",
            "telephone_number": "410-925-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURKEE IMMLER",
        "first_name": "CARRIE",
        "middle_name": "LEIGH",
        "credential": "L.AC., M.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.