Tiaa C. Hartley, D.AC, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U02667 Issued in MD

Practice address

1629 Crofton Ctr Ste 18
Crofton, MD 21114-1318

Phone

(301) 580-4585

Fax

(240) 366-5954

NPI assigned

Aug 16, 2019

Last updated

Mar 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Tia April Curtis-Hartley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Energy Base LLC

  dba Sage Chi Integrative Wellness

  • Acupuncturist
  • Crofton, MD
  • NPI 1912587239
  NPD Authorized official

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1770139511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 STATE ROUTE 3 N STE 282",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541715",
            "telephone_number": "301-580-4585",
            "fax_number": "240-366-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 CROFTON CTR STE 18",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141318",
            "telephone_number": "301-580-4585",
            "fax_number": "240-366-5954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Brandermill Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Gambrills",
            "state": "MD",
            "postal_code": "210541604",
            "country_code": "US",
            "telephone_number": "410-774-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7750 Montpelier Rd",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207236010",
            "country_code": "US",
            "telephone_number": "301-580-4585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "TIAA",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "D.AC, L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02667",
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "MD",
            "license": "A-3087586",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "764013700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIA",
            "last_name": "CURTIS-HARTLEY",
            "middle_name": "APRIL",
            "prefix": "MRS.",
            "credential": "M.AC, L.AC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.