SAGELIGHT INTEGRATIVE WELLNESS CENTER (NPI# 1215413273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215413273 |
| Entity Type | Organization |
| Organization Name | SAGELIGHT INTEGRATIVE WELLNESS CENTER |
| Practice Address |
10450 Shaker Dr Ste 113 Columbia MD 21046-2351 |
| Practice Telephone | 4107301499 |
| Mailing Telephone | 4107301499 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |
| Authorized Official Name | RENEE MCSWAIN (OWNER) |
| Authorized Official Telephone | 4107301499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | U01054 | MD | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | NPI | 1518182740 | 01 |
| Street Address |
10450 SHAKER DR STE 113 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21046-2351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487126546 | Maryam Ebrahimzadeh | Acupuncturist | 10450 Shaker Dr Ste 113, Columbia, MD 21046-2351 | 2018-12-28 |
| 1720564420 | Renee Mcswain | Acupuncturist | 10450 Shaker Dr Ste 113, Columbia, MD 21046-2351 | 2018-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1477116218 | Corporate Sourcing Solutions, Inc. | Nurse's Aide | 6700 Alexander Bell Dr., Suite 200, Columbia, MD 21046 | 2019-04-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1649792698 | Sharon Londeree | Nurse Practitioner | 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 | 2017-07-12 |
| 1043740624 | Katherine Green | Counselor | 6950 Columbia Gateway Drive, Columbia, MD 21046 | 2017-06-15 |
| 1710417548 | Karen Trageser | Registered Nurse | 7055 Samuel Morse Drive Suite 200, Columbia, MD 21046 | 2017-06-14 |
| 1396282745 | Emma Mayne | Technician, Other | 7175 Columbia Gateway Dr A, Columbia, MD 21046 | 2017-01-24 |
| 1861944795 | Ameris | Home Health | 6711 Columbia Gateway Drive, Suite 475, Columbia, MD 21046 | 2016-10-26 |
| 1073063426 | Chandni Bhatia | Counselor | 10005 Old Columbia Road (suite L260), Columbia, MD 21046 | 2016-10-10 |
| Find all providers in zip 21046 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137210 | Alla Pap | Acupuncturist | 5525 Twin Knolls Rd Ste 331, Columbia, MD 21045-3207 | 2020-09-05 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1720626492 | Kathleen Murray | Acupuncturist | 9123 Old Annapolis Rd, Columbia, MD 21045-1953 | 2019-12-12 |
| 1003466475 | Omd Acupuncture &herbal Care, LLC | Acupuncturist | 10760 Hickory Ridge Rd Ste 117, Columbia, MD 21044-3682 | 2019-09-17 |
| 1710536172 | Brianna Lynn Viens | Acupuncturist | 6517 Belleview Dr, Columbia, MD 21046-1016 | 2019-09-09 |
| 1144888561 | Laurena White | Acupuncturist | 10203 Tanager Ln Ste 102, Columbia, MD 21044-3943 | 2019-05-31 |
| 1710442165 | Grace Elizabeth Ganel | Acupuncturist | 8894 Stanford Blvd Ste 303, Columbia, MD 21045-5165 | 2019-02-08 |
| 1609340652 | Tyra Villadiego | Acupuncturist | 6935 Oakland Mills Rd, Columbia, MD 21045-4719 | 2019-01-13 |
| 1417449901 | Stefen Fox Shatto | Acupuncturist | 2600 Forum Blvd Ste B2, Columbia, MO 65203-6343 | 2018-05-31 |
| 1508370552 | Integrative Healing Arts | Acupuncturist | 8850 Stanford Blvd Ste 1800, Columbia, MD 21045-4733 | 2017-11-29 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on SAGELIGHT INTEGRATIVE WELLNESS CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.