NPIMap

Organization Active NPI

Nourishing Life Wellness, LLC

  • Acupuncturist
  • Columbia, MD
National Provider Identifier
1841764057
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
NOURISHING LIFE WELLNESS, LLC
Practice address
7300 Grace Dr # 1a
Columbia, MD 21044-2473
Phone
(443) 312-9560
NPI assigned
Jan 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Kim-Khanh Nguyen, L.AC., DOM, DIPL.OM.NPI 1669839981
Title
Owner/Acupuncturist
Phone
(443) 312-9560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

7300 Grace Dr # 1a
Columbia, MD 21044-2473

Mailing address

7300 Grace Dr Ste a
Columbia, MD 21044-2473
Phone (443) 312-9560

Other practice location 1

6935 Laurel Ave Ste 203
Takoma Park, MD 20912-4413
Phone (443) 312-9560

National Provider Directory

National Provider Directory

Locations

7300 Grace Dr
Ste A
Columbia, MD 21044
Phone (240) 389-4113

7300 Grace Dr
#1A
Columbia, MD 21044
Phone (443) 312-9560

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1841764057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 GRACE DR STE A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442473",
            "telephone_number": "443-312-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 GRACE DR # 1A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442473",
            "telephone_number": "443-312-9560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6935 Laurel Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Takoma Park",
            "state": "MD",
            "postal_code": "209124413",
            "country_code": "US",
            "telephone_number": "443-312-9560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOURISHING LIFE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KIM-KHANH",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "443-312-9560",
        "authorized_official_credential": "L.AC., DOM, DIPL.OM."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.