Individual provider Active NPI

Sally L. Larrabee, RN

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Dover Foxcroft, ME
National Provider Identifier
1093855207
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
RO22264 Issued in ME
Practice address
572 Bangor Rd
Dover Foxcroft, ME 04426
Phone
(207) 564-2464
Fax
(207) 564-2404
NPI assigned
Feb 7, 2007
Last updated
Nov 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X RO22264 ME Primary

Addresses

Primary practice location

572 Bangor Rd
Dover Foxcroft, ME 04426

Mailing address

572 Bangor Rd
Dover Foxcroft, ME 04426
Phone (207) 564-2464

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
RO22264MEMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1093855207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 BANGOR RD",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "04426",
            "telephone_number": "207-564-2464",
            "fax_number": "207-564-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 BANGOR RD",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "04426",
            "telephone_number": "207-564-2464",
            "fax_number": "207-564-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRABEE",
        "first_name": "SALLY",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "ME",
            "license": "RO22264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover Foxcroft, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.