Individual provider Active NPI

Laura Lynn Feaga, M.AC., L.AC.

  • Acupuncturist
  • Ellicott City, MD
National Provider Identifier
1396042800
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01870 Issued in MD
Practice address
13151 Triadelphia Rd
Ellicott City, MD 21042-1125
Phone
(443) 574-5142
NPI assigned
Feb 17, 2011
Last updated
Aug 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U01870 MD Primary

Addresses

Primary practice location

13151 Triadelphia Rd
Ellicott City, MD 21042-1125

Mailing address

13151 Triadelphia Rd
Ellicott City, MD 21042-1125
Phone (443) 574-5142

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
U01870MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1396042800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13151 TRIADELPHIA RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421125",
            "telephone_number": "443-574-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13151 TRIADELPHIA RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421125",
            "telephone_number": "443-574-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEAGA",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.AC., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.