Active NPI
Audrie Prince
- Occupational Therapy Assistant
- Greene, ME
National Provider Identifier
1679954325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0A724
- Practice address
- 141 Main Street
Greene, ME 04236 - Phone
- (207) 689-4753
- NPI assigned
- Jun 17, 2015
- Last updated
- Nov 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0A724 | ME | Primary |
Addresses
Primary practice location
141 Main Street
Greene, ME 04236
Mailing address
141 Main Street
Greene, ME 04236
Phone (207) 689-4753
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0A724 | ME | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1679954325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 MAIN STREET",
"city": "GREENE",
"state": "ME",
"postal_code": "04236",
"telephone_number": "207-689-4753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 MAIN STREET",
"city": "GREENE",
"state": "ME",
"postal_code": "04236",
"telephone_number": "207-689-4753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "AUDRIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-17",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "ME",
"license": "0A724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greene, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.