Individual provider Active NPI

Brandy Ludden, RN

  • Registered Nurse
  • Waterville, ME
National Provider Identifier
1336723295
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN50334 Issued in ME
Practice address
40 Airport Rd
Waterville, ME 04901-4524
Phone
(207) 872-7272
Fax
(207) 872-7272
NPI assigned
May 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN50334 ME Primary

Addresses

Primary practice location

40 Airport Rd
Waterville, ME 04901-4524

Mailing address

40 Airport Rd
Waterville, ME 04901-4524
Phone (207) 872-7272

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
RN50334MEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery House of Central Maine, Inc. PastSince May 9, 2021 Accepting new patients
Integrated Medical Associates, LLC PastSince May 9, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1336723295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AIRPORT RD",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014524",
            "telephone_number": "207-872-7272",
            "fax_number": "207-872-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AIRPORT RD",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014524",
            "telephone_number": "207-872-7272",
            "fax_number": "207-872-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDDEN",
        "first_name": "BRANDY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN50334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.