Active NPI
Natalia L. Quimby
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Winterport, ME
National Provider Identifier
1487790523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Practice address
- 46 Cove Road
Winterport, ME 04496 - Phone
- (207) 223-5484
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
46 Cove Road
Winterport, ME 04496
Mailing address
PO Box 178
Hampden, ME 04444-0178
Phone (207) 223-5484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201560000 | Medicaid | ME |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231977600000",
"number": "1487790523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 178",
"city": "HAMPDEN",
"state": "ME",
"postal_code": "044440178",
"telephone_number": "207-223-5484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 COVE ROAD",
"city": "WINTERPORT",
"state": "ME",
"postal_code": "04496",
"telephone_number": "207-223-5484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIMBY",
"first_name": "NATALIA",
"middle_name": "L.",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2009-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201560000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winterport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.