NPIMap

Individual provider Active NPI

Kristin Parris, MD

  • Internal Medicine Physician
  • Westbrook, ME
National Provider Identifier
1386632289
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD20736 Issued in ME
Practice address
1 Harnois Ave
Westbrook, ME 04092-4392
Phone
(207) 662-1340
Fax
(207) 662-1341
NPI assigned
Oct 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD20736 ME Primary

Addresses

Primary practice location

1 Harnois Ave
Westbrook, ME 04092-4392

Mailing address

301C US Route 1
Scarborough, ME 04074-9701
Phone (207) 396-8600

Other identifiers 1

IdentifierTypeStateIssuer
0014214000001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150924001152 ME Practitioner - Internal Medicine 0749312817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

1 Wellness Way
Suite a
Topsham, ME 04086-1768
Phone (207) 406-7600

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

Hospital & facility affiliations

  • Mainehealth Chans Home Health and Hospice Home health agency, Brunswick, ME, CCN 207012
  • Andwell Health Partners Home health agency, Lewiston, ME, CCN 207019
  • Chans Home Health & Hospice Hospice, Brunswick, ME, CCN 201501
  • Mainehealth Mid Coast Hospital Hospital, Brunswick, ME, CCN 200021
  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
  • Lincolnhealth Hospital, Damariscotta, ME, CCN 201302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD20736MEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Nov 1, 2020 Accepting new patients
Mainehealth Internal Medicine Past Accepting new patients
Bravo Health Advanced Care Center, P.C. Past Accepting new patients

Locations

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491

301C US Route 1
Scarborough, ME 04074
Phone (207) 396-8600

1 Harnois Ave
#1B
Westbrook, ME 04092

1 Harnois Ave
Ste 2A
Westbrook, ME 04092
Phone (207) 661-3400

1 Harnois Ave
Westbrook, ME 04092
Phone (207) 662-1340

Interoperability endpoints

  • Direct secure messaging: kparris364102@direct.mmc.mainehealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 41

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1386632289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301C US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749701",
            "telephone_number": "207-396-8600",
            "fax_number": "207-396-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARNOIS AVE",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924392",
            "telephone_number": "207-662-1340",
            "fax_number": "207-662-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRIS",
        "first_name": "KRISTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD20736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014214000001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

Verify at the official NPI Registry.