Active NPI
Katherine Jewett
- Specialist
- Lewiston, ME
National Provider Identifier
1124356860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OT2180
- Practice address
- 655 Main St
Lewiston, ME 04240-5938 - Phone
- (207) 782-2726
- Fax
- (207) 333-3501
- NPI assigned
- Nov 18, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | OT2180 | ME | Primary |
Addresses
Primary practice location
655 Main St
Lewiston, ME 04240-5938
Mailing address
800 Center St
Auburn, ME 04210-6404
Phone (207) 782-2726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 433011599 | Medicaid | ME |
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 |
|---|---|---|---|
| OT2180 | ME | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1124356860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CENTER ST",
"city": "AUBURN",
"state": "ME",
"postal_code": "042106404",
"telephone_number": "207-782-2726",
"fax_number": "207-333-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 MAIN ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042405938",
"telephone_number": "207-782-2726",
"fax_number": "207-333-3501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEWETT",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-18",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ME",
"license": "OT2180",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "433011599",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.