Individual provider Active NPI

Doreen M Blouin, RN

  • Psychiatric/Mental Health Registered Nurse
  • North Conway, NH
National Provider Identifier
1306688692
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
043706-21 Issued in NH
Practice address
1857 White Mountain Hwy Ste A1
North Conway, NH 03860-5158
Phone
(603) 707-7313
NPI assigned
Jun 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0808X 043706-21 NH Primary

Addresses

Primary practice location

1857 White Mountain Hwy Ste A1
North Conway, NH 03860-5158

Mailing address

54 Symmes Rd
Effingham, NH 03882-8107
Phone (603) 707-7313

Other practice location 1

1857 White Mountain Hwy Ste 7
North Conway, NH 03860-5158
Phone (603) 707-7313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
043706-21NHMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1306688692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SYMMES RD",
            "city": "EFFINGHAM",
            "state": "NH",
            "postal_code": "038828107",
            "telephone_number": "603-707-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 WHITE MOUNTAIN HWY STE A1",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038605158",
            "telephone_number": "603-707-7313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1857 White Mountain Hwy Ste 7",
            "address_purpose": "LOCATION",
            "city": "North Conway",
            "state": "NH",
            "postal_code": "038605158",
            "country_code": "US",
            "telephone_number": "603-707-7313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOUIN",
        "first_name": "DOREEN",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NH",
            "license": "043706-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Conway, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.