Ila Mae, BSN RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

R035036 Issued in ME

Practice address

32 Down St
Indian Island, ME 04468-1214

Phone

(207) 991-0748

NPI assigned

Feb 7, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1346512233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 DOWN ST",
            "city": "INDIAN ISLAND",
            "state": "ME",
            "postal_code": "044681214",
            "telephone_number": "207-991-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 DOWN ST",
            "city": "INDIAN ISLAND",
            "state": "ME",
            "postal_code": "044681214",
            "telephone_number": "207-991-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAE",
        "first_name": "ILA",
        "name_prefix": "Ms.",
        "credential": "BSN RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "ME",
            "license": "R035036",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "ME",
            "license": "R035036",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "ME",
            "license": "R035036",
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "ME",
            "license": "R035036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indian Island School
• Alexis Audrey Jones, LCPC, CADC
• Susan B. Judson-Preble, RDH
• Timothy R. Lentz, FNP
• Dale E Lolar, LADC
• Nicholas Steven Martinez, M.A., CCC-SLP
• Andrea J. Mietkiewicz, RN
• Tanya M Miller, RN
• Kristi Mitchell, RN
• Marie Mitchell, LCPC, CADC

• Home Health Registered Nurse in Indian Island, ME
• Providers in Indian Island, ME by specialty
• Home Health Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.