Ginny Crockett-Maillet, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

081878 Issued in ME

Practice address

195 Fore River Pkwy
Suite 360
Portland, ME 04102-2780

Phone

(207) 553-6868

NPI assigned

Nov 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ginny Crockett-Maillet Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mercy Hospital

  • Rural Health Clinic/Center
  • Windham, ME
  • NPI 1396496378
  NPD (past)
• Mercy Hospital

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1629078712
  NPD (past)

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1669879680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GENERAL DELIVERY",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045789999",
            "telephone_number": "970-420-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FORE RIVER PKWY",
            "address_2": "SUITE 360",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022780",
            "telephone_number": "207-553-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT-MAILLET",
        "first_name": "GINNY",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ME",
            "license": "081878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINNY",
            "last_name": "CROCKETT-MAILLET",
            "credential": "WHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael Daniel Crespi, LCPC-C
• Sarah Crews, DPT
• Elizabeth Critchfield
• Benjamin Crocker, MD
• Mason Crocker, MD
• Peter E Croft, MD
• Erin Crommie, RN
• Shelby Elizabeth Cronkhite, MD
• Paul Michael Crook, PHARMD
• Khadine Crooks

• Women's Health Nurse Practitioner in Portland, ME
• Providers in Portland, ME by specialty
• Women's Health Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.