Active NPI
Mary Alice Phelps, LIC. ACUPUNCTURIST
- Acupuncturist
- Towson, MD
National Provider Identifier
1891864633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U00192
- Practice address
- 658 Kenilworth Dr
Towson, MD 21204-2312 - Phone
- (410) 828-3585
- Fax
- (410) 828-8674
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
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 | U00192 | MD | Primary |
Addresses
Primary practice location
658 Kenilworth Dr
Towson, MD 21204-2312
Mailing address
201 Ridge Ave
Towson, MD 21286-5433
Phone (410) 828-6563
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 |
|---|---|---|---|
| U00192 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891864633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 RIDGE AVE",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865433",
"telephone_number": "410-828-6563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "658 KENILWORTH DR",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042312",
"telephone_number": "410-828-3585",
"fax_number": "410-828-8674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "MARY",
"middle_name": "ALICE",
"name_prefix": "Ms.",
"credential": "LIC. ACUPUNCTURIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U00192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.