Individual provider Active NPI

Christine Willenbrock, IBCLC, FNP

  • Family Nurse Practitioner
  • Falmouth, ME
National Provider Identifier
1598305633
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP231438 Issued in ME
Practice address
66 Leighton Rd
Falmouth, ME 04105-2225
Phone
(603) 986-5342
NPI assigned
Jan 7, 2020
Last updated
May 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP231438 ME Primary
Lactation Consultant (Registered Nurse) 163WL0100X 076850-21 NH

Addresses

Primary practice location

66 Leighton Rd
Falmouth, ME 04105-2225

Mailing address

66 Leighton Rd
Falmouth, ME 04105-2225
Phone (207) 536-0560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028002582 ME Order and Referring Only - Family PracticePractitioner - Family Practice 6608309778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
076850-21NHMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1598305633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 LEIGHTON RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052225",
            "telephone_number": "207-536-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LEIGHTON RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052225",
            "telephone_number": "603-986-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLENBROCK",
        "first_name": "CHRISTINE",
        "credential": "IBCLC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP231438",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NH",
            "license": "076850-21",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

Verify at the official NPI Registry.