Organization Active NPI

Amy Brown NP, LLC

Doing business as MainelyNP Primary Care

  • Family Nurse Practitioner
  • South Portland, ME
National Provider Identifier
1255101960
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
AMY BROWN NP, LLC
Doing business as
MainelyNP Primary Care
Practice address
27 Ocean St Ste 3
South Portland, ME 04106-2854
Phone
(207) 713-4649
NPI assigned
Jan 3, 2024
Last updated
Jan 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Ms. Amy N Brown, FNP-CNPI 1063745735
Title
Owner/FNP-C
Phone
(207) 713-4649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

27 Ocean St Ste 3
South Portland, ME 04106-2854

Mailing address

30 Roosevelt St Apt 1
South Portland, ME 04106-2043
Phone (207) 713-4649

Other names 1

  • MainelyNP Primary Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D2300362Mainelynp Primary Care27 Ocean St, South Portland, ME 04106Certificate of waiverMar 7, 2028

National Provider Directory

National Provider Directory

Locations

27 Ocean St
Ste 3
South Portland, ME 04106
Phone (207) 218-0639

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1255101960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ROOSEVELT ST APT 1",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062043",
            "telephone_number": "207-713-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 OCEAN ST STE 3",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062854",
            "telephone_number": "207-713-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY BROWN NP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/FNP-C",
        "authorized_official_telephone_number": "207-713-4649",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MainelyNP Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.