Individual provider Active NPI

Harriet Sanclemente, PNP

  • Pediatric Nurse Practitioner
  • Kennebunk, ME
National Provider Identifier
1053512178
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
142120 Issued in MA
Practice address
3 Shape Dr
Kennebunk, ME 04043-6601
Phone
(207) 467-8930
Fax
(207) 985-8459
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 142120 MA Primary

Addresses

Primary practice location

3 Shape Dr
Kennebunk, ME 04043-6601

Mailing address

8 Organug Rd
York, ME 03909-1306
Phone (508) 277-3389

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
142120MAMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: harriet.sanclemete.p1@direct.portlandchc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1053512178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ORGANUG RD",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091306",
            "telephone_number": "508-277-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHAPE DR",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436601",
            "telephone_number": "207-467-8930",
            "fax_number": "207-985-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCLEMENTE",
        "first_name": "HARRIET",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "142120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennebunk, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.