Active NPI
Susan Freeman
- Nursing Care Agency
- Benton, ME
National Provider Identifier
1093140337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- R056197
- Practice address
- 11 East St
Benton, ME 04901-3309 - Phone
- (207) 453-4708
- Fax
- (207) 453-6250
- NPI assigned
- Sep 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | R056197 | ME | Primary |
Addresses
Primary practice location
11 East St
Benton, ME 04901-3309
Mailing address
37 Olivia Ave
Oakland, ME 04963-4233
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R056197 | ME | MD | Nursing Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JMPB Inc. | Nursing Care | Past | Accepting new patients |
Organizations & group practices 1
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": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1093140337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 OLIVIA AVE",
"city": "OAKLAND",
"state": "ME",
"postal_code": "049634233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 EAST ST",
"city": "BENTON",
"state": "ME",
"postal_code": "049013309",
"telephone_number": "207-453-4708",
"fax_number": "207-453-6250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "ME",
"license": "R056197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.