TYRA VILLADIEGO (NPI# 1609340652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609340652 |
| Entity Type | Individual |
| Full Name | TYRA VILLADIEGO |
| Credential | L.AC. |
| Practice Address |
6935 Oakland Mills Rd Columbia MD 21045-4719 |
| Mailing Address |
1621 Mithering Ln Silver Spring MD 20905-7045 |
| Practice Telephone | 4107305079 |
| Enumeration Date | 2019-01-13 |
| Last Update Date | 2019-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | UO2465 | MD | Other Service Providers |
| Street Address |
6935 OAKLAND MILLS RD |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-4719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| 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 |
| 1215413273 | Sagelight Integrative Wellness Center | Acupuncturist | 10450 Shaker Dr Ste 113, Columbia, MD 21046-2351 | 2018-07-12 |
| 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 | ||||
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| 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.