Individual provider Active NPI

Perdethia Naomi Haynes

  • Chiropractor
  • Frederick, MD
National Provider Identifier
1336009588
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S04270 Issued in MD
Practice address
1003 W 7TH St
Frederick, MD 21701-4106
Phone
(301) 328-4929
NPI assigned
Nov 12, 2025
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S04270 MD Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251223004524 MD Practitioner - Chiropractic 7810482189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Touch Chiropractic LLCGroup PAC ID 6901195536, 2 clinicians

Practice addresses (Care Compare)

1003 W 7TH St
Suite 1001
Frederick, MD 21701-4128
Phone (301) 328-4929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S04270MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Touch Chiropractic LLC CurrentSince Oct 18, 2025 Accepting new patients
Frederick's Radiology & Diagnostic Center, LLC PastSince Aug 8, 2011 Accepting new patients

Locations

1003 W 7th St
Ste 1001
Frederick, MD 21701
Phone (240) 439-4405

Organizations & group practices 2

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": "1762905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1336009588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014106",
            "telephone_number": "301-328-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014106",
            "telephone_number": "301-328-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "PERDETHIA",
        "middle_name": "NAOMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S04270",
            "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 Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.