Active NPI
Hello in There in Home Primary Care PLLC
- Adult Health Nurse Practitioner
- South Portland, ME
National Provider Identifier
1396319984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- HELLO IN THERE IN HOME PRIMARY CARE PLLC
- Practice address
- 62 Dawson St
South Portland, ME 04106-3413 - Phone
- (207) 615-6640
- NPI assigned
- May 18, 2021
- 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
- Jodie Tompkins, APRN
- Title
- Owner
- Phone
- (207) 615-6640
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | |||
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
62 Dawson St
South Portland, ME 04106-3413
Mailing address
62 Dawson St
South Portland, ME 04106-3413
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CNP81791 | Other | ME | MAIN STATE BOARD OF NURSING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Portland, ME
- NPI 1548372923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632355200000",
"number": "1396319984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 DAWSON ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041063413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 DAWSON ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041063413",
"telephone_number": "207-615-6640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HELLO IN THERE IN HOME PRIMARY CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-18",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A",
"authorized_official_last_name": "TOMPKINS",
"authorized_official_first_name": "JODIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-615-6640",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAIN STATE BOARD OF NURSING",
"identifier": "CNP81791",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.