Organization Active NPI

Medical Spa Management, LLC

Doing business as Grace Aesthetics and Wellness

  • Specialist
  • Eldersburg, MD
National Provider Identifier
1922962604
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MEDICAL SPA MANAGEMENT, LLC
Doing business as
Grace Aesthetics and Wellness
Practice address
1030 Liberty Rd Ste 100
Eldersburg, MD 21784-7941
Phone
(443) 398-8425
NPI assigned
Dec 16, 2025
Last updated
Jan 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Emma Sorenson, PA-CNPI 1730480617
Title
Owner
Phone
(443) 398-8425

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1030 Liberty Rd Ste 100
Eldersburg, MD 21784-7941

Mailing address

1030 Liberty Rd Ste 100
Eldersburg, MD 21784-7941
Phone (443) 398-8425

Other names 1

  • Grace Aesthetics and Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1922962604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 LIBERTY RD STE 100",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217847941",
            "telephone_number": "443-398-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 LIBERTY RD STE 100",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217847941",
            "telephone_number": "443-398-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SPA MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-16",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-398-8425",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Aesthetics and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.