Active NPI
Janice E Locke, CNP
- Midwife
- Portland, ME
National Provider Identifier
1396738464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- CNM142002
- Practice address
- 84 Marginal Way Ste 900
Portland, ME 04101-2476 - Phone
- (207) 874-2445
- Fax
- (207) 523-8598
- NPI assigned
- Aug 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | CNP81037 | ME | |
| Midwife | 176B00000X | CNM142002 | ME | Primary |
Addresses
Primary practice location
84 Marginal Way Ste 900
Portland, ME 04101-2476
Mailing address
100 Gannett Dr Ste C
South Portland, ME 04106-5900
Phone (207) 828-0361
Other practice location 1
12 High St
Ste 200
Lewiston, ME 04240-7676
Phone (207) 795-5770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients |
Locations
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
12 High St
Ste 200
Lewiston, ME 04240
Phone (207) 795-5770
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
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.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1396738464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GANNETT DR STE C",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041065900",
"telephone_number": "207-828-0361",
"fax_number": "207-874-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 MARGINAL WAY STE 900",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012476",
"telephone_number": "207-874-2445",
"fax_number": "207-523-8598"
}
],
"practiceLocations": [
{
"address_1": "12 High St",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "ME",
"postal_code": "042407676",
"country_code": "US",
"telephone_number": "207-795-5770",
"fax_number": "207-795-5779",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOCKE",
"first_name": "JANICE",
"middle_name": "E",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-24",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "ME",
"license": "CNP81037",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "ME",
"license": "CNM142002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.