Active NPI
Daaniyaa Selvaraju
- Student in an Organized Health Care Education/Training Program
- Bangor, ME
National Provider Identifier
1336080225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Northern Light Acadia Hospital, 268 Stillwater Avenue
Bangor, ME 04401 - Phone
- (207) 973-6100
- NPI assigned
- Apr 3, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Northern Light Acadia Hospital, 268 Stillwater Avenue
Bangor, ME 04401
Mailing address
Northern Light Acadia Hospital, 268 Stillwater Avenue
Bangor, ME 04401
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1336080225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NORTHERN LIGHT ACADIA HOSPITAL, 268 STILLWATER AVENUE",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NORTHERN LIGHT ACADIA HOSPITAL, 268 STILLWATER AVENUE",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-973-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELVARAJU",
"first_name": "DAANIYAA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-03",
"last_updated": "2026-04-03",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"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 Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.