Organization Active NPI

Integrated Osteoporosis Clinic

  • Family Nurse Practitioner
  • Bangor, ME
National Provider Identifier
1336032283
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
INTEGRATED OSTEOPOROSIS CLINIC
Practice address
700 Main St Ste 3
Bangor, ME 04401-6800
Phone
(207) 659-8366
Fax
(808) 999-7636
NPI assigned
May 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Ms. Elizabeth Mary Duke, FNP-CNPI 1083652929
Title
Owner
Phone
(207) 478-8508

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

700 Main St Ste 3
Bangor, ME 04401-6800

Mailing address

700 Main St Ste 3
Bangor, ME 04401-6800
Phone (207) 659-8366

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251118002853 ME Part B Supplier - Clinic/Group Practice 4880185701 Receives reassigned benefits from 1 practitioner
Practice locations: Brewer, ME

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1336032283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MAIN ST STE 3",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016800",
            "telephone_number": "207-659-8366",
            "fax_number": "808-999-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MAIN ST STE 3",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016800",
            "telephone_number": "207-659-8366",
            "fax_number": "808-999-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED OSTEOPOROSIS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-478-8508",
        "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": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.