Radiant Wellness LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U02022 Issued in MD

Legal business name

RADIANT WELLNESS LLC

Practice address

2000 Girard Ave
Baltimore, MD 21211-1331

Phone

(402) 618-3338

NPI assigned

Apr 27, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Gena Roberge, L.AC.

Title

Acupuncturist

Phone

(402) 618-3338

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1437684420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GIRARD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111331",
            "telephone_number": "402-618-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GIRARD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111331",
            "telephone_number": "402-618-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "ROBERGE",
        "authorized_official_first_name": "GENA",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "402-618-3338",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Greene Rader, DNP, CNM, FNP-BC
• Arash Radfar, M.D.
• Haripriya Radhakrishnan, M.B.B.S.
• Radiant Hope Counseling LLC
• Radiant Life Clinical & Wellness, LLC
• Radiation Oncology Affiliates of Maryland
• Radiation Oncology Services of Northwest Baltimore, LLC
• Radical Liberation Counseling, LLC
• Amy Lorraine Radion, LCSWC
• Jane Radov, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.