Individual provider Active NPI

Francine Dalfonso, FNP

  • Family Nurse Practitioner
  • Brunswick, ME
National Provider Identifier
1023064953
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP081268 Issued in ME
Practice address
81 Medical Center Dr
2350
Brunswick, ME 04011-2764
Phone
(207) 373-6690
Fax
(207) 373-6695
NPI assigned
May 25, 2006
Last updated
Feb 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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 AP081268 ME Primary

Addresses

Primary practice location

81 Medical Center Dr
2350
Brunswick, ME 04011-2764

Mailing address

81 Medical Center Dr
2350
Brunswick, ME 04011-2764
Phone (207) 373-6690

Other identifiers 2

IdentifierTypeStateIssuer
433046499MedicaidME
11459566OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP081268MEMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1023064953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 MEDICAL CENTER DR",
            "address_2": "2350",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112764",
            "telephone_number": "207-373-6690",
            "fax_number": "207-373-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MEDICAL CENTER DR",
            "address_2": "2350",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112764",
            "telephone_number": "207-373-6690",
            "fax_number": "207-373-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALFONSO",
        "first_name": "FRANCINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "AP081268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433046499",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11459566",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.