Individual provider Active NPI

Dana Merrill Law-Ham, FNP-C

  • Family Nurse Practitioner
  • Waterville, ME
National Provider Identifier
1619151628
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP081269 Issued in ME
Practice address
180 Kennedy Memorial Dr Ste 304
Waterville, ME 04901-4548
Phone
(207) 873-1036
Fax
(207) 873-1039
NPI assigned
Dec 27, 2007
Last updated
Dec 31, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP081269 ME Primary

Addresses

Primary practice location

180 Kennedy Memorial Dr Ste 304
Waterville, ME 04901-4548

Mailing address

174 Kennedy Memorial Dr
Waterville, ME 04901-5134
Phone (207) 861-3002

Other identifiers 1

IdentifierTypeStateIssuer
432864599MedicaidME

Other names 1

  • Dana Merrill Law-Hinds Former name

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP081269MEMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1619151628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015134",
            "telephone_number": "207-861-3002",
            "fax_number": "207-861-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 KENNEDY MEMORIAL DR STE 304",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014548",
            "telephone_number": "207-873-1036",
            "fax_number": "207-873-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAW-HAM",
        "first_name": "DANA",
        "middle_name": "MERRILL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "AP081269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432864599",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "LAW-HINDS",
            "middle_name": "MERRILL",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.