Active NPI
Ideh Rohani, NP-C
- Family Nurse Practitioner
- Portland, ME
National Provider Identifier
1639545494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP161217
- Practice address
- 111 Auburn St
Portland, ME 04103-2103 - Phone
- (207) 797-3393
- NPI assigned
- Aug 17, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | N360592731 | WA | |
| Family Nurse Practitioner | 363LF0000X | CNP161217 | ME | Primary |
Addresses
Primary practice location
111 Auburn St
Portland, ME 04103-2103
Mailing address
111 Auburn St
Portland, ME 04103-2103
Phone (207) 797-3393
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N360592731 | WA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1639545494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 AUBURN ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032103",
"telephone_number": "207-797-3393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 AUBURN ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032103",
"telephone_number": "207-797-3393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROHANI",
"first_name": "IDEH",
"name_prefix": "Miss",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WA",
"license": "N360592731",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP161217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.