Individual provider Active NPI

Jamie Dawn Bannister, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Biddeford, ME
National Provider Identifier
1093316796
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP221277 Issued in ME
Practice address
409 Alfred St Ste 4-5
Biddeford, ME 04005-3756
Phone
(207) 346-5807
NPI assigned
Nov 8, 2020
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN61568 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP221277 ME Primary

Addresses

Primary practice location

409 Alfred St Ste 4-5
Biddeford, ME 04005-3756

Mailing address

317 Turner St
Auburn, ME 04210-6038
Phone (207) 577-9426

Other practice location 1

317 Turner St
Auburn, ME 04210-6038
Phone (207) 577-9426

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
RN61568MEMDPsychiatric/Mental Health Registered Nurse
CNP221277MEMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1604793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1093316796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 TURNER ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106038",
            "telephone_number": "207-577-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 ALFRED ST STE 4-5",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053756",
            "telephone_number": "207-346-5807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 Turner St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "ME",
            "postal_code": "042106038",
            "country_code": "US",
            "telephone_number": "207-577-9426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANNISTER",
        "first_name": "JAMIE",
        "middle_name": "DAWN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-08",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "ME",
            "license": "RN61568",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP221277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.