Town of Rockport

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF ROCKPORT

Practice address

85 Main St
Rockport, ME 04856-5962

Phone

(207) 237-4437

NPI assigned

Aug 7, 2024

Organization subpart

No

Name

Corey J Bonnevie

Title

EMS Supervisor

Phone

(207) 382-8555

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

• Rockport Fire Department Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 2, 2025.

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1548090145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048565963",
            "telephone_number": "207-236-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MAIN ST",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048565962",
            "telephone_number": "207-237-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ROCKPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "BONNEVIE",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EMS SUPERVISOR",
        "authorized_official_telephone_number": "207-382-8555"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockport Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rockport Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Elizabeth A Tulip, P.A.
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• Janet Ann Urquhart, PTA
• Sara L Valente, M.D.

• All providers in Rockport, ME
• Land Ambulance in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.