Individual provider Active NPI

Emily Fraser Kilroy, FNP

  • Family Nurse Practitioner
  • York, ME
National Provider Identifier
1699135384
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP171117 Issued in ME
Practice address
1 Brickyard LN Ste B
York, ME 03909-1687
Phone
(207) 606-2032
Fax
(207) 606-2039
NPI assigned
Feb 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP171117 ME Primary

Addresses

Primary practice location

1 Brickyard LN Ste B
York, ME 03909-1687

Mailing address

1 Brickyard LN Ste B
York, ME 03909-1687
Phone (207) 606-2032

Other names 1

  • Emily Ann Fraser Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160526001456 NH Practitioner - Nurse Practitioner 6406146869 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP171117MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Pediatrics, P.a. CurrentSince Apr 24, 2022 Accepting new patients
Appledore Medical Group, Inc CurrentSince Apr 4, 2016 Accepting new patients
Stephen R. Brennan, D.O., P.a. Past Accepting new patients

Locations

1 Brickyard Ln
Ste B
York, ME 03909
Phone (207) 363-4114

55 High St
Ste 201
Hampton, NH 03842
Phone (603) 436-6638

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10971/brand/1/csg/1/fhir/r4
  • Direct secure messaging: emily.kilroy.1@20815.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20815/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1699135384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRICKYARD LN STE B",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091687",
            "telephone_number": "207-606-2032",
            "fax_number": "207-606-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRICKYARD LN STE B",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091687",
            "telephone_number": "207-606-2032",
            "fax_number": "207-606-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILROY",
        "first_name": "EMILY",
        "middle_name": "FRASER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP171117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "FRASER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, ME

Sources for this page

Verify at the official NPI Registry.