Active NPI
Tracy Weitkamp, LGPAT
- Art Therapist
- Columbia, MD
National Provider Identifier
1548890429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- ATG234
- Practice address
- 6410 Dobbin Rd Ste F
Columbia, MD 21045-4774 - Phone
- (443) 574-5545
- NPI assigned
- Jan 20, 2020
- Last updated
- Jan 20, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Art Therapist | 221700000X | ATG234 | MD | Primary |
Addresses
Primary practice location
6410 Dobbin Rd Ste F
Columbia, MD 21045-4774
Mailing address
7474 Greenway Center Dr Ste 700B
Greenbelt, MD 20770-3523
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATG234 | MD | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579478400000",
"number": "1548890429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR STE 700B",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 DOBBIN RD STE F",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210454774",
"telephone_number": "443-574-5545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEITKAMP",
"first_name": "TRACY",
"credential": "LGPAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-20",
"last_updated": "2020-01-20",
"certification_date": "2020-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "MD",
"license": "ATG234",
"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 Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.