Active NPI
Isabel Rose Paci
- Chiropractor
- Laurel, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 04205
- Practice address
- 13992 Baltimore Ave
#201A
Laurel, MD 20707-5010 - Phone
- (301) 953-0256
- NPI assigned
- Jun 5, 2024
- Last updated
- Jun 5, 2024
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 04205 | MD | Primary |
Addresses
Primary practice location
13992 Baltimore Ave
#201A
Laurel, MD 20707-5010
Mailing address
13992 Baltimore Ave Ste 201a
Laurel, MD 20707-5010
Phone (301) 953-0256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13992 Baltimore Ave
Suite 201a
Laurel, MD 20707-5010
Phone (301) 953-0235
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04205 | MD | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laurel Regional Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
Locations
13992 Baltimore Ave
Ste 201A
Laurel, MD 20707
Phone (301) 953-0235
9811 Mallard Dr
Ste 218
Laurel, MD 20708
Phone (301) 953-0256
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1760223440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13992 BALTIMORE AVE STE 201A",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075010",
"telephone_number": "301-953-0256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13992 BALTIMORE AVE",
"address_2": "#201A",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075010",
"telephone_number": "301-953-0256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACI",
"first_name": "ISABEL",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-05",
"last_updated": "2024-06-05",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "04205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.