Michael Steven Bodkin, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN33331 Issued in ME

Practice address

24 Hospital LN
Calais, ME 04619-1329

Phone

(207) 454-9300

Fax

(207) 454-9216

NPI assigned

Jun 7, 2019

Last updated

Jun 7, 2019By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1508425208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "ROBBINSTON",
            "state": "ME",
            "postal_code": "046710126",
            "telephone_number": "207-454-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL LN",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191329",
            "telephone_number": "207-454-9300",
            "fax_number": "207-454-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODKIN",
        "first_name": "MICHAEL",
        "middle_name": "STEVEN",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "ME",
            "license": "RN33331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Barry, REGISTERED NURSE
• Timothy G Baxter, MS, LPC, LCPC
• Ann L Beckham, LCSW
• Samuel Dalogdog Benigno, PHYSICAL THERAPIST
• Virginia L. Blake, LADC, CCS, LSW
• Bold Coast Rehabilitation Services LLC
• Tamara Suzanne Boots, D.O.
• Debra Anne Marie Boucaud, NP
• Ann Boudreaux, PA
• Nicolas R Bradbury, MHRT-1, OQMHP-PNMI

• Registered Nurse First Assistant in Calais, ME
• Providers in Calais, ME by specialty
• Registered Nurse First Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.