Active NPI
Brittny Daly, PA-C
- Physician Assistant
- Kittery, ME
National Provider Identifier
1699000240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA001302
- Practice address
- 35 Walker St
My Health @ Kittery, York Hospital
Kittery, ME 03904-1727 - Phone
- (207) 439-4430
- NPI assigned
- Oct 14, 2009
- Last updated
- Sep 6, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA3882 | MA | |
| Physician Assistant | 363A00000X | PA001302 | ME | Primary |
| Physician Assistant | 363A00000X | 0879 | NH |
Addresses
Primary practice location
35 Walker St
My Health @ Kittery, York Hospital
Kittery, ME 03904-1727
Mailing address
35 Walker St
My Health @ Kittery, York Hospital
Kittery, ME 03904-1727
Phone (207) 439-4430
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0879 | NH | MD | Addiction (Substance Use Disorder) Counselor |
| PA3882 | MA | MD | Physician Assistant |
| PA001302 | ME | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| York Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1699000240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 WALKER ST",
"address_2": "MY HEALTH @ KITTERY, YORK HOSPITAL",
"city": "KITTERY",
"state": "ME",
"postal_code": "039041727",
"telephone_number": "207-439-4430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 WALKER ST",
"address_2": "MY HEALTH @ KITTERY, YORK HOSPITAL",
"city": "KITTERY",
"state": "ME",
"postal_code": "039041727",
"telephone_number": "207-439-4430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALY",
"first_name": "BRITTNY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-14",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA3882",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA001302",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "0879",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kittery, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.