Bobbi Mead Acupuncture LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U01482 Issued in MD

Legal business name

BOBBI MEAD ACUPUNCTURE LLC

Practice address

1560 Opossumtown Pike
Suite 25
Frederick, MD 21702-4748

Phone

(301) 695-9111

Fax

(301) 695-9115

NPI assigned

Mar 16, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Roberta Mead, LAC

Title

Owner

Phone

(301) 695-9111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1891936233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 JEFFERSON PIKE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217036912",
            "telephone_number": "301-695-9111",
            "fax_number": "301-695-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 OPOSSUMTOWN PIKE",
            "address_2": "SUITE 25",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024748",
            "telephone_number": "301-695-9111",
            "fax_number": "301-695-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBI MEAD ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "MEAD",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-695-9111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Frederick, MD
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.