Individual provider Active NPI

Julia Flaccavento, LAC

  • Acupuncturist
  • Baltimore, MD
National Provider Identifier
1558073569
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02971 Issued in MD
Practice address
2700 Remington Ave Ste 400
Baltimore, MD 21211-3042
Phone
(410) 235-1776
NPI assigned
Dec 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U02971 MD Primary

Addresses

Primary practice location

2700 Remington Ave Ste 400
Baltimore, MD 21211-3042

Mailing address

2700 Remington Ave Ste 400
Baltimore, MD 21211-3042
Phone (410) 235-1776

Other practice location 1

2544 Quarry Lake Dr
Baltimore, MD 21209-3759
Phone (410) 337-7940

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
U02971MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Seeds Center for Whole Health, LLC Acupuncturist CurrentSince Aug 1, 2022 Accepting new patients

Locations

3713 Boston St
Baltimore, MD 21224
Phone (410) 235-1776

2544 Quarry Lake Dr
Baltimore, MD 21209
Phone (410) 235-1776

2700 Remington Ave
Ste 400
Baltimore, MD 21211
Phone (410) 235-1776

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1558073569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 REMINGTON AVE STE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212113042",
            "telephone_number": "410-235-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 REMINGTON AVE STE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212113042",
            "telephone_number": "410-235-1776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2544 Quarry Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212093759",
            "country_code": "US",
            "telephone_number": "410-337-7940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLACCAVENTO",
        "first_name": "JULIA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.