Active NPI
Sara Reich Poldmae, LAC
- Acupuncturist
- Annapolis, MD
National Provider Identifier
1790814721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U01390
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AF63 | Other | MD | BCBS |
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 |
|---|---|---|---|
| U01390 | MD | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Instinctive Wellness, LLC | Past | Accepting new patients | |
| Meadow Hill Wellness | Acupuncturist | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Nurse Practitioner
- Chestertown, MD
- NPI 1720479926
-
- Acupuncturist
- Annapolis, MD
- NPI 1053573022
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.