Active NPI
Karen C. Sennett, RNFA
- Medical-Surgical Registered Nurse
- Waterville, ME
National Provider Identifier
1679515191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- R019767
- Practice address
- 325D Kennedy Memorial Dr
Waterville, ME 04901-4530 - Phone
- (207) 873-4411
- Fax
- (207) 872-5542
- NPI assigned
- Jun 11, 2006
- 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 |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | R019767 | ME | Primary |
Addresses
Primary practice location
325D Kennedy Memorial Dr
Waterville, ME 04901-4530
Mailing address
419 Clark Rd
Albion, ME 04910-6017
Phone (207) 437-2472
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432009999 | Medicaid | ME | |
| 042422 | Other | ME | ANTHEM |
| 3165109 | Other | ME | AETNA |
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 |
|---|---|---|---|
| R019767 | ME | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1679515191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 CLARK RD",
"city": "ALBION",
"state": "ME",
"postal_code": "049106017",
"telephone_number": "207-437-2472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325D KENNEDY MEMORIAL DR",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049014530",
"telephone_number": "207-873-4411",
"fax_number": "207-872-5542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENNETT",
"first_name": "KAREN",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "RNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "ME",
"license": "R019767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432009999",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "042422",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3165109",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
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 Jun 18, 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.