Active NPI
Susana Molero Harris, MAC LICENSED ACUPUNC
- Acupuncturist
- Gambrills, MD
National Provider Identifier
1417158205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U00762
- Practice address
- 325 Gambrills Road
Suite a
Gambrills, MD 21054 - Phone
- (410) 674-8605
- Fax
- (410) 674-8608
- NPI assigned
- May 30, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U00762 | MD | Primary |
Addresses
Primary practice location
325 Gambrills Road
Suite a
Gambrills, MD 21054
Mailing address
4214 Harford Terr
Baltimore, MD 21214
Phone (410) 444-9871
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
| License | State | Type | Specialty |
|---|---|---|---|
| U00762 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417158205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4214 HARFORD TERR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21214",
"telephone_number": "410-444-9871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 GAMBRILLS ROAD",
"address_2": "SUITE A",
"city": "GAMBRILLS",
"state": "MD",
"postal_code": "21054",
"telephone_number": "410-674-8605",
"fax_number": "410-674-8608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "SUSANA",
"middle_name": "MOLERO",
"name_prefix": "Ms.",
"credential": "MAC LICENSED ACUPUNC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U00762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gambrills, MD
- Brenda Green
- Linda P Grierson, RN
- Hanson Physical Therapy & Sports Performance
- Harcart Health Holdings LLC (Righttime Medical Care)
- Jennifer Lynn Harris
- Healtopia Primary Care and Medical Weight Loss, LLC
- Alyssa Christine Hipple, LAC
- Rhonda Holmes, L.M.T
- Brittany E Homick, PHARMD
- Hope Psych Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.