Individual provider Active NPI

Sara Reich Poldmae, LAC

  • Acupuncturist
  • Annapolis, MD
National Provider Identifier
1790814721
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01390 Issued in MD
Practice address
53 Old Solomons Island Road
Suite C
Annapolis, MD 21401-3872
Phone
(410) 263-0411
Fax
(410) 263-2290
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U01390 MD Primary

Addresses

Primary practice location

53 Old Solomons Island Road
Suite C
Annapolis, MD 21401-3872

Mailing address

53 Old Solomons Island Road
Suite C
Annapolis, MD 21401-3872
Phone (410) 263-0411

Other identifiers 1

IdentifierTypeStateIssuer
AF63OtherMDBCBS

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
U01390MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Instinctive Wellness, LLC PastSince Feb 9, 2015 Accepting new patients
Meadow Hill Wellness Acupuncturist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19185/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1790814721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 OLD SOLOMONS ISLAND ROAD",
            "address_2": "SUITE C",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013872",
            "telephone_number": "410-263-0411",
            "fax_number": "410-263-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 OLD SOLOMONS ISLAND ROAD",
            "address_2": "SUITE C",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013872",
            "telephone_number": "410-263-0411",
            "fax_number": "410-263-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLDMAE",
        "first_name": "SARA",
        "middle_name": "REICH",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AF63",
            "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 Oct 16, 2012; 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.