Individual provider Active NPI

Amy L Everett, RNFA

  • Registered Nurse First Assistant
  • Waterville, ME
National Provider Identifier
1144575978
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN53775 Issued in ME
Practice address
295 Kennedy Memorial Dr
Suite 6
Waterville, ME 04901-4535
Phone
(207) 877-7477
Fax
(207) 877-7171
NPI assigned
Jul 18, 2012
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN53775 ME Primary

Addresses

Primary practice location

295 Kennedy Memorial Dr
Suite 6
Waterville, ME 04901-4535

Mailing address

295 Kennedy Memorial Dr
Suite 6
Waterville, ME 04901-4535
Phone (207) 877-7477

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

LicenseStateTypeSpecialty
RN53775MEMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Waterville Womens Care Inc Past Accepting new patients

Organizations & group practices 1

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1144575978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 KENNEDY MEMORIAL DR",
            "address_2": "SUITE 6",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014535",
            "telephone_number": "207-877-7477",
            "fax_number": "207-877-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 KENNEDY MEMORIAL DR",
            "address_2": "SUITE 6",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014535",
            "telephone_number": "207-877-7477",
            "fax_number": "207-877-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "ME",
            "license": "RN53775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.