Perdethia Naomi Haynes
Individual provider Active NPI Chiropractor · Frederick, MD
NPI 1336009588 · NPPES record last updated Nov 12, 2025
Key facts
- NPI
- 1336009588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- S04270 (MD)
- Practice address
- 1003 W 7TH St
Frederick, MD 21701-4106 - Phone
- (301) 328-4929
- NPI assigned
- Nov 12, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healing Touch Chiropractic LLC
Practice addresses (Care Compare)
1003 W 7TH St
Suite 1001
Frederick, MD 21701-4128
Phone (301) 328-4929
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251223004524 | MD | Practitioner - Chiropractic | 7810482189 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S04270 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Touch Chiropractic LLC | Current |
Accepting new patients | |
| Frederick'S Radiology & Diagnostic Center, LLC | Past |
Accepting new patients |
Locations
1003 W 7th St
Ste 1001
Frederick, MD 21701
Phone (240) 439-4405
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | S04270 | MD | Yes |
Addresses
Primary practice location
1003 W 7TH St
Frederick, MD 21701-4106
Mailing address
1003 W 7TH St
Frederick, MD 21701-4106
Phone (301) 328-4929
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.