Active NPI
Merideth C Norris PA
- Addiction Medicine (Family Medicine) Physician
- Kennebunk, ME
National Provider Identifier
1376973651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- ME1813
- Legal business name
- MERIDETH C NORRIS PA
- Practice address
- 58 Portland Rd
Suite 18
Kennebunk, ME 04043-6656 - Phone
- (207) 604-5034
- NPI assigned
- Nov 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Merideth C Norris, DO
- Title
- Owner/Provider
- Phone
- (207) 604-5034
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1813 | ME | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | ME1813 | ME | Primary |
| Pain Medicine Physician | 208VP0000X | 1813 | ME |
Addresses
Primary practice location
58 Portland Rd
Suite 18
Kennebunk, ME 04043-6656
Mailing address
58 Portland Rd
Suite 18
Kennebunk, ME 04043-6656
Phone (207) 604-5034
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280670099 | Medicaid | ME | |
| E100136968 | Other | ME | ETAN |
Other names 1
- GRACEFUL RECOVERY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426464000000",
"number": "1376973651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 PORTLAND RD",
"address_2": "SUITE 18",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040436656",
"telephone_number": "207-604-5034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 PORTLAND RD",
"address_2": "SUITE 18",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040436656",
"telephone_number": "207-604-5034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIDETH C NORRIS PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-22",
"last_updated": "2015-03-16",
"status": "A",
"authorized_official_last_name": "NORRIS",
"authorized_official_first_name": "MERIDETH",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "207-604-5034",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "ME",
"license": "1813",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": "ME",
"license": "ME1813",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "ME",
"license": "1813",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280670099",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ETAN",
"identifier": "E100136968",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GRACEFUL RECOVERY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kennebunk, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.