Organization Active NPI

Picc's Plus

  • Nursing Care Agency
  • Brunswick, ME
National Provider Identifier
1437392495
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
R053554 Issued in ME
Legal business name
PICC'S PLUS
Practice address
25 Maquoit Rd
Brunswick, ME 04011
Phone
(207) 208-9179
NPI assigned
Apr 7, 2009
Last updated
Apr 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Authorized official

Name
Ms. Tammie Keslake, MSN
Title
Owner
Phone
(207) 208-9179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X R053554 ME Primary

Addresses

Primary practice location

25 Maquoit Rd
Brunswick, ME 04011

Mailing address

PO Box 415
Brunswick, ME 04011-0415
Phone (207) 208-9179

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1437392495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040110415",
            "telephone_number": "207-208-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MAQUOIT RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "04011",
            "telephone_number": "207-208-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICC'S PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "KESLAKE",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-208-9179",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "ME",
            "license": "R053554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.