Individual provider Active NPI

Paul R Viarello, CRNA

  • Certified Registered Nurse Anesthetist
  • Boothbay Harbor, ME
National Provider Identifier
1023131596
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ME8423 Issued in ME
Practice address
6 Saint Andrews LN
Boothbay Harbor, ME 04538-1731
Phone
(207) 633-2121
Fax
(207) 633-1224
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ME8423 ME Primary

Addresses

Primary practice location

6 Saint Andrews LN
Boothbay Harbor, ME 04538-1731

Mailing address

PO Box 417
Boothbay Harbor, ME 04538-0417
Phone (207) 633-2121

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
ME8423MEMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023131596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045380417",
            "telephone_number": "207-633-2121",
            "fax_number": "207-633-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SAINT ANDREWS LN",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045381731",
            "telephone_number": "207-633-2121",
            "fax_number": "207-633-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIARELLO",
        "first_name": "PAUL",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "ME8423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boothbay Harbor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.