Individual provider Active NPI

Christine Baldwin, RPT

  • Specialist
  • Poland Spring, ME
National Provider Identifier
1497937825
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT166 Issued in ME
Practice address
295 Summit Spring Rd
Poland Spring, ME 04274-6709
Phone
(207) 998-2437
Fax
(207) 998-3517
NPI assigned
Nov 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT166 ME Primary

Addresses

Primary practice location

295 Summit Spring Rd
Poland Spring, ME 04274-6709

Mailing address

295 Summit Spring Rd
Poland Spring, ME 04274-6709
Phone (207) 998-2437

Other identifiers 2

IdentifierTypeStateIssuer
036342OtherMEANTHEM
M21837OtherMECIGNA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT166MEMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1497937825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 SUMMIT SPRING RD",
            "city": "POLAND SPRING",
            "state": "ME",
            "postal_code": "042746709",
            "telephone_number": "207-998-2437",
            "fax_number": "207-998-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 SUMMIT SPRING RD",
            "city": "POLAND SPRING",
            "state": "ME",
            "postal_code": "042746709",
            "telephone_number": "207-998-2437",
            "fax_number": "207-998-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "CHRISTINE",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "PT166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "036342",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M21837",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland Spring, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.