Evelyn Dorothy Niles

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Practice address

777 Stillwater Ave
Old Town, ME 04468-2200

Phone

(207) 249-8998

NPI assigned

Sep 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1477072494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 527",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044680527",
            "telephone_number": "207-249-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 STILLWATER AVE",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044682200",
            "telephone_number": "207-249-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILES",
        "first_name": "EVELYN",
        "middle_name": "DOROTHY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chetan Raj Nanjundaiah, MD
• Kay M Nash, PA-C
• Gabrielle N Neill, PAC
• Regan Lauren Nelson, PT, DPT
• Tessa T Nguyen, PHARM.D
• Noonan Chiropractic
• Todd D O'Brien, DPM
• Byron Judson Oakes, LLI,MHRT-1, PSS
• Emily Odermann
• Heather D Okeefe, PMHNP

• All providers in Old Town, ME
• Assisted Living Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; 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.