Individual provider Active NPI

Debra Susan Hallinan, RN

  • Registered Nurse
  • Boothbay Harbor, ME
National Provider Identifier
1043921307
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2503 Issued in ME
Practice address
12 Sun Set Rd
Boothbay Harbor, ME 04538-2233
Phone
(207) 380-9336
NPI assigned
Dec 7, 2022
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2503 ME Primary

Addresses

Primary practice location

12 Sun Set Rd
Boothbay Harbor, ME 04538-2233

Mailing address

12 Sun Set Rd
Boothbay Harbor, ME 04538-2233
Phone (207) 380-9336

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2503MEMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1043921307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SUN SET RD",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045382233",
            "telephone_number": "207-380-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SUN SET RD",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045382233",
            "telephone_number": "207-380-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLINAN",
        "first_name": "DEBRA",
        "middle_name": "SUSAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN2503",
            "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 Dec 7, 2022; 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.