Theresa Louise Deramo, M.AC. L.AC., DIPL.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U01169 Issued in MD

Practice address

3633 Marcey Creek Rd
Laurel, MD 20724-1912

Phone

(443) 306-0560

Fax

(301) 498-5657

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659420107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 MARCEY CREEK RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241912",
            "telephone_number": "443-306-0560",
            "fax_number": "301-498-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 MARCEY CREEK RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241912",
            "telephone_number": "443-306-0560",
            "fax_number": "301-498-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERAMO",
        "first_name": "THERESA",
        "middle_name": "LOUISE",
        "name_prefix": "Miss",
        "credential": "M.AC. L.AC., DIPL.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Laurel, MD
• Providers in Laurel, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.