Individual Healthcare Provider
Karen M Ramirez, ND
Provider's NPPES record last updated: August 21, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1346013133
- Primary Specialty
- Homeopath
- Practice Location
- Princess Anne, Maryland
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 3:52 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Homeopath
Other Service Providers
A provider who is educated and trained in a system of therapeutics in which diseases are treated by drugs which are capable of producing in healthy persons symptoms like those of the disease to be treated. Treatment requires administering a drug in minute doses.
Taxonomy code 175L00000X Counselor
Behavioral Health & Social Service Providers
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Taxonomy code 101Y00000XEmergency Medicine
Hospice and Palliative Medicine
Allopathic & Osteopathic Physicians
An emergency medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Taxonomy code 207PH0002XMarriage & Family Therapist
Behavioral Health & Social Service Providers
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Taxonomy code 106H00000XNaprapath
Other Service Providers
Naprapathy means a branch of medicine that focuses on the evaluation and treatment of neuron-muscular conditions. Doctors of naprapathy are connective tissue specialists. Education and training are defined through individual states' licensing/certification requirements.
Taxonomy code 172P00000XNaturopath
Other Service Providers
Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.
Taxonomy code 175F00000XEmergency Medical Technician, Basic
Emergency Medical Service Providers
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
Taxonomy code 146N00000XHealth & Wellness Coach
Other Service Providers
The Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach.
Taxonomy code 171400000XDrama Therapist
Behavioral Health & Social Service Providers
Drama therapists are trained in the intentional use of drama and theatre processes to achieve therapeutic goals. Drama therapists provide psychotherapy for individuals living with mental health and behavioral concerns that may result in psychological suffering, impaired relationships, or distress in daily activities. Drama therapy promotes wellness and healing within the context of a therapeutic relationship for individuals of varying ability levels across the lifespan. Drama therapy can take many forms depending on individual and group needs, skill and ability levels, interests, and therapeutic goals. Processes and techniques may include improvisation, theater games, storytelling, and enactment.
Taxonomy code 101200000XCounselor
Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YA0400XDoula
Nursing Service Related Providers
Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period.
Taxonomy code 374J00000XNutritionist
Dietary & Nutritional Service Providers
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
Taxonomy code 133N00000XCounselor
Mental Health
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YM0800X
Provider-Reported License Information
- Homeopath (Maryland)
- 267274308
- Counselor (Maryland)
- 144506KR
- Emergency Medicine (Maryland)
- 267274308
- Naprapath (Maryland)
- 267274308
- Health & Wellness Coach (Maryland)
- 267274308
- Counselor (Maryland)
- 267274308
- Doula
- 144506KR
- Nutritionist (Maryland)
- 267274308
Practice Locations
Practice Location
30589 Circle Dr
Princess Anne, Maryland 21853-2869
Phone: (443) 736-6460
Record Information
- Enumeration Date
- November 2, 2023
- Provider's NPPES Record Last Updated
- August 21, 2026
- Certification Date
- August 21, 2026
- NPISignal NPPES Dataset
- August 2026
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