Individual provider Active NPI

Priscille Belanger, CMF

  • Orthotic Fitter
  • Biddeford, ME
National Provider Identifier
1447267901
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
Practice address
193 Main St
Suite 101
Biddeford, ME 04005-2590
Phone
(207) 284-8614
Fax
(207) 284-8614
NPI assigned
Aug 1, 2006
Last updated
May 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X Primary

Addresses

Primary practice location

193 Main St
Suite 101
Biddeford, ME 04005-2590

Mailing address

193 Main St
Suite 101
Biddeford, ME 04005-2590
Phone (207) 284-8614

Other identifiers 2

IdentifierTypeStateIssuer
129570000MedicaidME
19Z018028ME01OtherMEANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Priscille Belanger Current Accepting new patients

Locations

193 Main St
Ste 101
Biddeford, ME 04005
Phone (207) 284-8614

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1447267901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 MAIN ST",
            "address_2": "SUITE 101",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040052590",
            "telephone_number": "207-284-8614",
            "fax_number": "207-284-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 MAIN ST",
            "address_2": "SUITE 101",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040052590",
            "telephone_number": "207-284-8614",
            "fax_number": "207-284-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELANGER",
        "first_name": "PRISCILLE",
        "name_prefix": "Mrs.",
        "credential": "CMF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129570000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "19Z018028ME01",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.