NPIMap

Individual provider Active NPI

Meselech Haile-Michael, L.AC.

  • Acupuncturist
  • North Bethesda, MD
National Provider Identifier
1538426903
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC500142 Issued in DC
Practice address
5204 Tuckerman LN
#306
North Bethesda, MD 20852-6639
Phone
(703) 216-0667
NPI assigned
Apr 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC500142 DC Primary
Acupuncturist 171100000X U01770 MD

Addresses

Primary practice location

5204 Tuckerman LN
#306
North Bethesda, MD 20852-6639

Mailing address

5204 Tuckerman LN
#306
North Bethesda, MD 20852-6639
Phone (703) 216-0667

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
AC500142DCMDAcupuncturist
U01770MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1538426903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 TUCKERMAN LN",
            "address_2": "#306",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208526639",
            "telephone_number": "703-216-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 TUCKERMAN LN",
            "address_2": "#306",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208526639",
            "telephone_number": "703-216-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILE-MICHAEL",
        "first_name": "MESELECH",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "DC",
            "license": "AC500142",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.