Individual provider Active NPI

Magdalena Newhardt, LAC

  • Acupuncturist
  • Annapolis, MD
National Provider Identifier
1619474715
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02453 Issued in MD
Practice address
1616 Forest Dr Ste 4
Annapolis, MD 21403-1019
Phone
(410) 610-8831
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U02453 MD Primary

Addresses

Primary practice location

1616 Forest Dr Ste 4
Annapolis, MD 21403-1019

Mailing address

2976 Jessup Rd
Jessup, MD 20794-9719
Phone (410) 610-8831

Other identifiers 1

IdentifierTypeStateIssuer
U02453OtherMDMARYLAND LICENSE

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
U02453MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1619474715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2976 JESSUP RD",
            "city": "JESSUP",
            "state": "MD",
            "postal_code": "207949719",
            "telephone_number": "410-610-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 FOREST DR STE 4",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031019",
            "telephone_number": "410-610-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWHARDT",
        "first_name": "MAGDALENA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND LICENSE",
            "identifier": "U02453",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.