Individual provider Active NPI

Natalie Elizabeth Alvarez, ANP

  • Adult Health Nurse Practitioner
  • Winterport, ME
National Provider Identifier
1255490256
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R04998 Issued in ME
Practice address
775 N Main St
Winterport, ME 04496-3414
Phone
(207) 223-5074
Fax
(207) 223-5953
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R04998 ME Primary

Addresses

Primary practice location

775 N Main St
Winterport, ME 04496-3414

Mailing address

133 Corporate Dr
Suite 5
Bangor, ME 04401-4312
Phone (207) 942-7648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190425002159 MA Practitioner - Nurse Practitioner 0547262347 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R04998MEMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Programs CurrentSince Mar 18, 2019 Accepting new patients
Community Health Programs, Inc. CurrentSince Mar 18, 2019 Accepting new patients
Community Health Programs, Inc. Current Accepting new patients
Sunbury Primary Care, P.a. Past Accepting new patients
Sunbury Primary Care, P.a. Past Accepting new patients
St. Mary'S Regional Medical Center Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1255490256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 CORPORATE DR",
            "address_2": "SUITE 5",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014312",
            "telephone_number": "207-942-7648",
            "fax_number": "207-990-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 N MAIN ST",
            "city": "WINTERPORT",
            "state": "ME",
            "postal_code": "044963414",
            "telephone_number": "207-223-5074",
            "fax_number": "207-223-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "NATALIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ME",
            "license": "R04998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterport, ME

Sources for this page

Verify at the official NPI Registry.