Active NPI
Laura King, LAC, RDN, LDN
- Acupuncturist
- Woodbine, MD
National Provider Identifier
1629668751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U02945
- Practice address
- 15948 Frederick Rd
Woodbine, MD 21797-8526 - Phone
- (240) 221-1979
- NPI assigned
- Jan 22, 2021
- Last updated
- Aug 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DX2518 | MD | |
| Acupuncturist | 171100000X | U02945 | MD | Primary |
Addresses
Primary practice location
15948 Frederick Rd
Woodbine, MD 21797-8526
Mailing address
4112 Boteler Rd
Mount Airy, MD 21771-7308
Phone (410) 245-9584
Other practice location 1
4112 Boteler Rd
Mount Airy, MD 21771-7308
Phone (410) 245-9584
Other practice location 2
2470 Longstone Ln Ste I
Marriottsville, MD 21104-1523
Phone (240) 221-1979
Other names 1
- Mrs. Laura King
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
| License | State | Type | Specialty |
|---|---|---|---|
| DX2518 | MD | MD | Registered Dietitian |
| U02945 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1629668751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4112 BOTELER RD",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217717308",
"telephone_number": "410-245-9584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15948 FREDERICK RD",
"city": "WOODBINE",
"state": "MD",
"postal_code": "217978526",
"telephone_number": "240-221-1979"
}
],
"practiceLocations": [
{
"address_1": "4112 Boteler Rd",
"address_purpose": "LOCATION",
"city": "Mount Airy",
"state": "MD",
"postal_code": "217717308",
"country_code": "US",
"telephone_number": "410-245-9584",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2470 Longstone Ln Ste I",
"address_purpose": "LOCATION",
"city": "Marriottsville",
"state": "MD",
"postal_code": "211041523",
"country_code": "US",
"telephone_number": "240-221-1979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "LAURA",
"credential": "LAC, RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-22",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX2518",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U02945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "KING",
"prefix": "MRS.",
"credential": "LAC, RDN, LDN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Woodbine, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.