Individual provider Active NPI

Ashley T Waterman, DC

  • Chiropractor
  • Westbrook, ME
National Provider Identifier
1306519582
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR2753 Issued in ME
Practice address
201 Main St Ste C
Westbrook, ME 04092-4763
Phone
(401) 441-2600
NPI assigned
Jul 26, 2021
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR2753 ME Primary

Addresses

Primary practice location

201 Main St Ste C
Westbrook, ME 04092-4763

Mailing address

201 Main St Ste C
Westbrook, ME 04092-4763
Phone (401) 441-2600

Other identifiers 1

IdentifierTypeStateIssuer
CR2753OtherMELICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awaterman@familysportandspine.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231121001651 NH Practitioner - Chiropractic 4880066703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

19 C Village Circle
Alton, NH 03809
Phone (603) 875-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1147NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Lovelace Institute for Spine and Sports Injuries, Incorporated Chiropractor CurrentSince Nov 8, 2023 Accepting new patients
Sweetser Past Accepting new patients

Locations

12 Portwalk Pl
Portsmouth, NH 03801
Phone (603) 431-4200

8 Greenleaf Woods Dr
Unit 203
Portsmouth, NH 03801
Phone (603) 431-4200

Interoperability endpoints

  • Direct secure messaging: awaterman@familysportandspine.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1306519582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MAIN ST STE C",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924763",
            "telephone_number": "401-441-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MAIN ST STE C",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924763",
            "telephone_number": "401-441-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "ASHLEY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CR2753",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awaterman@familysportandspine.com",
            "affiliation": "N",
            "endpointDescription": "Practice e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "201 Main St Ste C",
            "city": "Westbrook",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040924763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.