Individual provider Active NPI

Mary Eva Herriman, LPN

  • Licensed Practical Nurse
  • Benton, ME
National Provider Identifier
1326474040
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN12389 Issued in ME
Practice address
11 East St
Benton, ME 04901-3309
Phone
(207) 238-9923
NPI assigned
Sep 26, 2013
Last updated
Sep 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN12389 ME Primary

Addresses

Primary practice location

11 East St
Benton, ME 04901-3309

Mailing address

32 S Garand St
Winslow, ME 04901-7080
Phone (207) 660-5130

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

State licenses

LicenseStateTypeSpecialty
LPN12389MEMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
JMPB Inc. Past Accepting new patients

Organizations & group practices 1

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": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1326474040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 S GARAND ST",
            "city": "WINSLOW",
            "state": "ME",
            "postal_code": "049017080",
            "telephone_number": "207-660-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 EAST ST",
            "city": "BENTON",
            "state": "ME",
            "postal_code": "049013309",
            "telephone_number": "207-238-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRIMAN",
        "first_name": "MARY",
        "middle_name": "EVA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "ME",
            "license": "LPN12389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.