Active NPI
Western Mountain Neurosolutions
- Medical Specialty Clinic/Center
- Farmington, ME
National Provider Identifier
1598428476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- WESTERN MOUNTAIN NEUROSOLUTIONS
- Practice address
- 145 Main St # 1
Farmington, ME 04938-1924 - Phone
- (207) 779-6553
- Fax
- (207) 652-2445
- NPI assigned
- Oct 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amelia Hutchinson, FNP-BC
- Title
- Owner
- Phone
- (207) 491-9151
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
145 Main St # 1
Farmington, ME 04938-1924
Mailing address
145 Main St # 1
Farmington, ME 04938-1924
Phone (207) 779-6553
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992241236 | Medicaid | ME | |
| CNP161223 | Other | ME | MAINE STATE BOARD OF NURSING |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | WMNEURO@OUTLOOK.COM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
145 Main St
#1
Farmington, ME 04938
Phone (207) 779-6553
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Farmington, ME
- NPI 1992241236
-
- Registered Dietitian
- Farmington, ME
- NPI 1184330813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634515200000",
"number": "1598428476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 MAIN ST # 1",
"city": "FARMINGTON",
"state": "ME",
"postal_code": "049381924",
"telephone_number": "207-779-6553",
"fax_number": "207-652-2445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 MAIN ST # 1",
"city": "FARMINGTON",
"state": "ME",
"postal_code": "049381924",
"telephone_number": "207-779-6553",
"fax_number": "207-652-2445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN MOUNTAIN NEUROSOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-18",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A",
"authorized_official_last_name": "HUTCHINSON",
"authorized_official_first_name": "AMELIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-491-9151",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992241236",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE STATE BOARD OF NURSING",
"identifier": "CNP161223",
"state": "ME"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "WMNEURO@OUTLOOK.COM",
"affiliation": "N",
"address_1": "145 Main St # 1",
"city": "Farmington",
"state": "ME",
"country_code": "US",
"postal_code": "049381924",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Farmington, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.