Active NPI
Sandra Bilodeau, RN
- Registered Nurse
- Saco, ME
National Provider Identifier
1154475820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R042995
- Practice address
- 31 Beach St
Saco, ME 04072-2810 - Phone
- (207) 282-1500
- Fax
- (207) 282-7509
- NPI assigned
- Jan 22, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R042995 | ME | Primary |
Addresses
Primary practice location
31 Beach St
Saco, ME 04072-2810
Mailing address
31 Beach St
Saco, ME 04072-2810
Phone (207) 282-1500
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R042995 | ME | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Behavioral Healthcare | Past | Accepting new patients | |
| Mainehealth | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Rockland, ME
- NPI 1386652535
-
- Family Medicine Physician
- Portland, ME
- NPI 1629761978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1154475820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 BEACH ST",
"city": "SACO",
"state": "ME",
"postal_code": "040722810",
"telephone_number": "207-282-1500",
"fax_number": "207-282-7509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 BEACH ST",
"city": "SACO",
"state": "ME",
"postal_code": "040722810",
"telephone_number": "207-282-1500",
"fax_number": "207-282-7509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILODEAU",
"first_name": "SANDRA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ME",
"license": "R042995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.