Active NPI
Paula E Drake, ARNP
- Nurse Practitioner
- Nashua, NH
National Provider Identifier
1619951225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0140462303
- Practice address
- 172 Kinsley St
Nashua, NH 03060-3648 - Phone
- (603) 880-3408
- NPI assigned
- Dec 6, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0140462303 | NH | Primary |
Addresses
Primary practice location
172 Kinsley St
Nashua, NH 03060-3648
Mailing address
PO Box 808
Nashua, NH 03061-0808
Phone (603) 578-5054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30343991 | Medicaid | NH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0140462303 | NH | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221782400000",
"number": "1619951225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 808",
"city": "NASHUA",
"state": "NH",
"postal_code": "030610808",
"telephone_number": "603-578-5054",
"fax_number": "603-595-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 KINSLEY ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603648",
"telephone_number": "603-880-3408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "PAULA",
"middle_name": "E",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2008-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NH",
"license": "0140462303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30343991",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.