Glow Wellness LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

U01889 Issued in MD

Legal business name

GLOW WELLNESS LLC

Practice address

6500 Seven Locks Rd
Suite 232
Cabin John, MD 20818-1300

Phone

(202) 510-1525

NPI assigned

Oct 13, 2015

Last updated

Oct 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Simone Hudson

Title

Acupuncturist

Phone

(202) 510-1525

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1831560143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 SEVEN LOCKS RD",
            "address_2": "SUITE 232",
            "city": "CABIN JOHN",
            "state": "MD",
            "postal_code": "208181300",
            "telephone_number": "202-510-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 SEVEN LOCKS RD",
            "address_2": "SUITE 232",
            "city": "CABIN JOHN",
            "state": "MD",
            "postal_code": "208181300",
            "telephone_number": "202-510-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOW WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "202-510-1525"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MD",
            "license": "U01889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Dionisio, LCSW-C
• Sylvia Alexandra Edelstein, MD
• Patric Colin Farrell
• Adam Freidfertig, LGPC
• Patricia Frischtak, M.D.
• Heather Leigh Gustafson
• Ahmed Essam Hefuna, M.D.
• Fonya Helm, PH.D.
• Marian Hwang, LMSW
• Michael Jasnow, PH.D

• Preferred Provider Organization in Cabin John, MD
• Providers in Cabin John, MD by specialty
• Preferred Provider Organization in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.