Organization Active NPI

Nulife Wellness

  • Clinic/Center
  • Windham, ME
National Provider Identifier
1215541701
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NULIFE WELLNESS
Doing business as
NuLife Wellness
Practice address
759 Roosevelt TRL
Windham, ME 04062-5341
Phone
(207) 514-3562
NPI assigned
Sep 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Sara Dayon, NP
Title
Coo
Phone
(207) 514-3562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

759 Roosevelt TRL
Windham, ME 04062-5341

Mailing address

361 Poland Spring Rd
Casco, ME 04015-4106
Phone (207) 514-3562

Other names 1

  • NuLife Wellness Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL athenahealth.com
Other URL athenahealth.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1215541701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 POLAND SPRING RD",
            "city": "CASCO",
            "state": "ME",
            "postal_code": "040154106",
            "telephone_number": "207-514-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 ROOSEVELT TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625341",
            "telephone_number": "207-514-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NULIFE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "DAYON",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "207-514-3562",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Web Based EMR",
            "address_1": "759 Roosevelt Trl",
            "city": "Windham",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040625341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Web based EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "759 Roosevelt Trl",
            "city": "Windham",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040625341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NuLife Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.