Jacqueline Bates, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

024691 Issued in ME

Practice address

259 Main St
Yarmouth Health Center
Yarmouth, ME 04096

Phone

(207) 846-9013

Fax

(207) 523-8586

NPI assigned

Mar 30, 2006

Last updated

Nov 16, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1336100213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FODEN ROAD WEST",
            "address_2": "SUITE 203",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062327",
            "telephone_number": "207-828-0361",
            "fax_number": "207-874-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 MAIN ST",
            "address_2": "YARMOUTH HEALTH CENTER",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "04096",
            "telephone_number": "207-846-9013",
            "fax_number": "207-523-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "024691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Baker Miller, LCSW
• Amanda Theresa Bambara, PMHNP
• Kevin Michael Bardwell, D.C.
• Jeanette T. Barnard, LCSW
• Amy Elizabeth Bates, FNP-C
• Jonathan Bausman, D.O.
• Bayview Dental Associates, P.a.
• Bayview Pediatrics
• Allison Benkart, DC
• Margo Rose Billings, LAC

• Nurse Practitioner in Yarmouth, ME
• Providers in Yarmouth, ME by specialty
• Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.