Individual provider Active NPI

Caroline Davenport Marin

  • Family Nurse Practitioner
  • Falmouth, ME
National Provider Identifier
1013676683
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP211294 Issued in ME
Practice address
22 Northbrook Dr
Falmouth, ME 04105-1318
Phone
(207) 781-5775
NPI assigned
Dec 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP211294 ME Primary

Addresses

Primary practice location

22 Northbrook Dr
Falmouth, ME 04105-1318

Mailing address

5 Willow LN
Cumberland, ME 04021-3633
Phone (207) 317-0809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220105001393 ME Practitioner - Nurse Practitioner 0345631107 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CNP211294MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Medical Group, PC CurrentSince Sep 19, 2024 Accepting new patients
Genesis Eldercare Physician Services LLC Family CurrentSince Nov 28, 2021 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Nov 28, 2021 Accepting new patients
Alignmed Partners, PC CurrentSince Nov 28, 2021 Accepting new patients

Locations

105 Mechanic St
Camden, ME 04843
Phone (207) 236-2573

22 Northbrook Dr
Falmouth, ME 04105
Phone (207) 781-5775

3 Brazier Ln
Kennebunk, ME 04043
Phone (207) 467-4676

33 Roger St
Lewiston, ME 04240
Phone (207) 784-0108

67 Pine Point Rd
Scarborough, ME 04074
Phone (207) 883-2468

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1013676683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WILLOW LN",
            "city": "CUMBERLAND",
            "state": "ME",
            "postal_code": "040213633",
            "telephone_number": "207-317-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 NORTHBROOK DR",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051318",
            "telephone_number": "207-781-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "CAROLINE",
        "middle_name": "DAVENPORT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP211294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

Verify at the official NPI Registry.