Active NPI
Leslie Lockett Anderson, MAC LAC
- Acupuncturist
- Columbia, MD
National Provider Identifier
1477727485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U01434
- Practice address
- 9170 RT 108
Suite 202
Columbia, MD 21045 - Phone
- (410) 340-2618
- NPI assigned
- Apr 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | U01434 | MD | Primary |
Addresses
Primary practice location
9170 RT 108
Suite 202
Columbia, MD 21045
Mailing address
6362 Red Haven Road
Columbia, MD 21045
Phone (410) 340-2618
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 |
|---|---|---|---|
| U01434 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1477727485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6362 RED HAVEN ROAD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21045",
"telephone_number": "410-340-2618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9170 RT 108",
"address_2": "SUITE 202",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21045",
"telephone_number": "410-340-2618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "LESLIE",
"middle_name": "LOCKETT",
"name_prefix": "Ms.",
"credential": "MAC LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U01434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 22, 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.