NPIMap

Organization Active NPI

Body & Soul Acupuncture LLC

  • Acupuncturist
  • Churchton, MD
National Provider Identifier
1316423155
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02143 Issued in MD
Legal business name
BODY & SOUL ACUPUNCTURE LLC
Practice address
5419 Deale Churchton Rd Ste 104
Churchton, MD 20733-2408
Phone
(860) 881-7449
NPI assigned
Jul 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Authorized official

Name
Mrs. Tamara Elynn Wilton, L.AC., M.AC.NPI 1508286832
Title
Owner/Acupuncturist
Phone
(860) 881-7449

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X U02143 MD Primary

Addresses

Primary practice location

5419 Deale Churchton Rd Ste 104
Churchton, MD 20733-2408

Mailing address

5419 Deale Churchton Rd Ste 104
Churchton, MD 20733-2408
Phone (860) 881-7449

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1316423155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 DEALE CHURCHTON RD STE 104",
            "city": "CHURCHTON",
            "state": "MD",
            "postal_code": "207332408",
            "telephone_number": "860-881-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 DEALE CHURCHTON RD STE 104",
            "city": "CHURCHTON",
            "state": "MD",
            "postal_code": "207332408",
            "telephone_number": "860-881-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY & SOUL ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "WILTON",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "ELYNN",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "860-881-7449",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.AC., M.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Churchton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.