Madea Ebony Allen, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U02893 Issued in MD

Practice address

2401 Brandermill Blvd Ste 301
Gambrills, MD 21054-1604

Phone

(410) 774-0800

Fax

(410) 774-0799

NPI assigned

Feb 14, 2022

Last updated

Feb 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Advanced Integrative Health Group

  • Acupuncturist
  • Gambrills, MD
  • NPI 1720445158
  NPD
• Meadow Hill Wellness

  • Acupuncturist
  • Annapolis, MD
  • NPI 1053573022
  NPD (past)

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1396490728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BRANDERMILL BLVD STE 301",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541604",
            "telephone_number": "410-774-0800",
            "fax_number": "410-774-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BRANDERMILL BLVD STE 301",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541604",
            "telephone_number": "410-774-0800",
            "fax_number": "410-774-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MADEA",
        "middle_name": "EBONY",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@aihgwellness.com",
            "affiliation": "N",
            "endpointDescription": "Microsoft Outlook",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2401 Brandermill Blvd Ste 301",
            "city": "Gambrills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210541604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Advanced Pain Management Specialists, LLC (Clearway Pain Solutions)
• Advita Health LLC
• David Afzal, DO
• Beatrice Aina
• Lloyd A Akpuaka, DMD
• Alliance Healthcare and Staffing Solutions Inc (Alliance Healthcare)
• Amanda Lyn Amoroso, LMT
• David Conrad Anderson, M.D.
• Korin Andreas, LCSW-C
• Angel Management, Inc Dba Brightstar Healthcare

• Acupuncturist in Gambrills, MD
• Providers in Gambrills, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.