Individual provider Active NPI

Kara Grandea, M.O.M, L.AC.

  • Acupuncturist
  • Elkridge, MD
National Provider Identifier
1548677560
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01966 Issued in MD
Practice address
8182 Lark Brown Rd Ste 102
Elkridge, MD 21075-6428
Phone
(410) 375-9607
NPI assigned
Jul 22, 2014
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U01966 MD Primary

Addresses

Primary practice location

8182 Lark Brown Rd Ste 102
Elkridge, MD 21075-6428

Mailing address

8182 Lark Brown Rd Ste 102
Elkridge, MD 21075-6428
Phone (410) 375-9607

Other practice location 1

5570 Sterrett Pl
Suite 210
Columbia, MD 21044-2641
Phone (410) 375-9607

Other practice location 2

10806 Reisterstown Rd Ste 1B
Owings Mills, MD 21117-2700
Phone (410) 375-9607

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
U01966MDMDAcupuncturist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1548677560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8182 LARK BROWN RD STE 102",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756428",
            "telephone_number": "410-375-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8182 LARK BROWN RD STE 102",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756428",
            "telephone_number": "410-375-9607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5570 Sterrett Pl",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210442641",
            "country_code": "US",
            "telephone_number": "410-375-9607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10806 Reisterstown Rd Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211172700",
            "country_code": "US",
            "telephone_number": "410-375-9607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANDEA",
        "first_name": "KARA",
        "name_prefix": "Ms.",
        "credential": "M.O.M, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.