Active NPI
Patricia Sullivan Philbrook, N.P.
- Nurse Practitioner
- Hallowell, ME
National Provider Identifier
1114218435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R 020625
- Practice address
- 47 Water St
Hallowell, ME 04347-1400 - Phone
- (207) 512-8633
- Fax
- (888) 688-0407
- NPI assigned
- Apr 20, 2011
- Last updated
- Apr 20, 2011
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R 020625 | ME | Primary |
Addresses
Primary practice location
47 Water St
Hallowell, ME 04347-1400
Mailing address
47 Water St
Hallowell, ME 04347-1400
Phone (207) 512-8633
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 020625 | ME | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1114218435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 WATER ST",
"city": "HALLOWELL",
"state": "ME",
"postal_code": "043471400",
"telephone_number": "207-512-8633",
"fax_number": "888-688-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 WATER ST",
"city": "HALLOWELL",
"state": "ME",
"postal_code": "043471400",
"telephone_number": "207-512-8633",
"fax_number": "888-688-0407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILBROOK",
"first_name": "PATRICIA",
"middle_name": "SULLIVAN",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-20",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ME",
"license": "R 020625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hallowell, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.