Individual provider Active NPI

Maureen Cullen, NP

  • Nurse Practitioner
  • Hanover, NH
National Provider Identifier
1134215486
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5270821 Issued in NH
Practice address
7 Rope Ferry Rd
#6143
Hanover, NH 03755-1404
Phone
(603) 646-9400
Fax
(603) 646-9450
NPI assigned
Oct 5, 2006
Last updated
Aug 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5270821 NH Primary

Addresses

Primary practice location

7 Rope Ferry Rd
#6143
Hanover, NH 03755-1404

Mailing address

7 Rope Ferry Rd
#6143
Hanover, NH 03755-1404
Phone (603) 646-9400

Other identifiers 6

IdentifierTypeStateIssuer
23YP05362NH01OtherANTHEM ID - NHC
06463647OtherTRICARE
H06749OtherHARVARD PILGRIM
9315957OtherPHCS ID
795912OtherMVP ID
30342730MedicaidNH

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5270821NHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trustess of Dartmouth College Past Accepting new patients
The New London Hospital Association, Inc. Past Accepting new patients
The New London Hospital Association, Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1134215486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ROPE FERRY RD",
            "address_2": "#6143",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551404",
            "telephone_number": "603-646-9400",
            "fax_number": "603-646-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ROPE FERRY RD",
            "address_2": "#6143",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551404",
            "telephone_number": "603-646-9400",
            "fax_number": "603-646-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "MAUREEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "5270821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID - NHC",
            "identifier": "23YP05362NH01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "06463647",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "H06749",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS ID",
            "identifier": "9315957",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP ID",
            "identifier": "795912",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30342730",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.