Individual provider Active NPI

Janice E Locke, CNP

  • Midwife
  • Portland, ME
National Provider Identifier
1396738464
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
CNM142002 Issued in ME
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

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140805001686 ME Practitioner - Certified Nurse Midwife (CNM) 2769445238 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince May 27, 2014 Accepting new patients
Central Maine Medical Center CurrentSince May 27, 2014 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.