Individual provider Active NPI

Mary L Hartman, L.AC.

  • Acupuncturist
  • Columbia, MD
National Provider Identifier
1447506944
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01400 Issued in MD
Practice address
9881 Broken Land Pkwy
Woodmere I, Suite 103
Columbia, MD 21046-1172
Phone
(240) 841-2639
Fax
(240) 841-2644
NPI assigned
Aug 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U01400 MD Primary

Addresses

Primary practice location

9881 Broken Land Pkwy
Woodmere I, Suite 103
Columbia, MD 21046-1172

Mailing address

106 John Bennett Rd
Sykesville, MD 21784-8103
Phone (301) 455-0941

Other names 1

  • M Lue Hartman Professional name

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
U01400MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1447506944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 JOHN BENNETT RD",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217848103",
            "telephone_number": "301-455-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9881 BROKEN LAND PKWY",
            "address_2": "WOODMERE I, SUITE 103",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461172",
            "telephone_number": "240-841-2639",
            "fax_number": "240-841-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "HARTMAN",
            "middle_name": "LUE",
            "credential": "L.AC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.