NPIMap

Individual provider Active NPI

Sandra Manship, APRN-CNP

  • Family Nurse Practitioner
  • Machias, ME
National Provider Identifier
1215368881
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP131107 Issued in ME
Practice address
160 Dublin St
Machias, ME 04654-3409
Phone
(207) 255-8290
Fax
(207) 853-6180
NPI assigned
Dec 9, 2013
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP131107 ME Primary

Addresses

Primary practice location

160 Dublin St
Machias, ME 04654-3409

Mailing address

43 S Lubec Rd
Lubec, ME 04652-3620
Phone (207) 733-5541

Other practice location 1

893 Main St
East Machias, ME 04630-4051
Phone (207) 255-0102

Other identifiers 1

IdentifierTypeStateIssuer
131107OtherMELICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140610000993 ME Practitioner - Nurse Practitioner 1850515099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastport Health Care, IncGroup PAC ID 3577592880, 12 clinicians

Practice addresses (Care Compare)

160 Dublin St
Machias, ME 04654-3409
Phone (207) 255-8290

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastport Health Care, Inc. CurrentSince Jul 15, 2024 Accepting new patients
Eastport Health Care, Inc. CurrentSince Jul 15, 2024 Accepting new patients
Down East Community Hospital CurrentSince Oct 19, 2015 Accepting new patients
Down East Community Hospital CurrentSince Oct 19, 2015 Accepting new patients
Regional Medical Center at Lubec PastSince Dec 15, 2013 Accepting new patients

Locations

30 Boynton St
Eastport, ME 04631
Phone (207) 853-6001

11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434

160 Dublin St
Machias, ME 04654
Phone (207) 255-3400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8309/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/
  • Direct secure messaging: sandra.manship.1@8309.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1215368881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 S LUBEC RD",
            "city": "LUBEC",
            "state": "ME",
            "postal_code": "046523620",
            "telephone_number": "207-733-5541",
            "fax_number": "207-733-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 DUBLIN ST",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046543409",
            "telephone_number": "207-255-8290",
            "fax_number": "207-853-6180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "893 Main St",
            "address_purpose": "LOCATION",
            "city": "East Machias",
            "state": "ME",
            "postal_code": "046304051",
            "country_code": "US",
            "telephone_number": "207-255-0102",
            "fax_number": "207-255-4645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSHIP",
        "first_name": "SANDRA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP131107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "131107",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Machias, ME

Sources for this page

Verify at the official NPI Registry.