Individual provider Active NPI

Sheryl Baker Martin, OMD L.AC. RN

  • Acupuncturist
  • Baltimore, MD
National Provider Identifier
1417124470
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U00452 Issued in MD
Practice address
658 Kenilworth Dr Ste 206
Baltimore, MD 21204-2334
Phone
(410) 828-3585
Fax
(410) 828-8674
NPI assigned
May 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U00452 MD Primary

Addresses

Primary practice location

658 Kenilworth Dr Ste 206
Baltimore, MD 21204-2334

Mailing address

658 Kenilworth Dr Ste 206
Baltimore, MD 21204-2334
Phone (410) 828-3585

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
U00452MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1417124470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 KENILWORTH DR STE 206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212042334",
            "telephone_number": "410-828-3585",
            "fax_number": "410-828-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 KENILWORTH DR STE 206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212042334",
            "telephone_number": "410-828-3585",
            "fax_number": "410-828-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SHERYL",
        "middle_name": "BAKER",
        "credential": "OMD L.AC. RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U00452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.