Individual provider Active NPI

Erin Shaw-Nkurunziza

  • Gerontology Occupational Therapist
  • Cape Elizabeth, ME
National Provider Identifier
1104125012
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
OT1583 Issued in ME
Practice address
2 Davis Point LN
Suite 1a
Cape Elizabeth, ME 04107-2620
Phone
(207) 767-9773
NPI assigned
Mar 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X OT1583 ME Primary

Addresses

Primary practice location

2 Davis Point LN
Suite 1a
Cape Elizabeth, ME 04107-2620

Mailing address

2 Davis Point LN Unit 1a
Cape Elizabeth, ME 04107-2628
Phone (207) 767-9773

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

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1104125012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DAVIS POINT LN UNIT 1A",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041072628",
            "telephone_number": "207-767-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DAVIS POINT LN",
            "address_2": "SUITE 1A",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041072620",
            "telephone_number": "207-767-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW-NKURUNZIZA",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-17",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "ME",
            "license": "OT1583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Elizabeth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.