Active NPI
Barbara M Maloney, NP
- Adult Health Nurse Practitioner
- Hanover, NH
National Provider Identifier
1700945664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 030637-23-05
- Practice address
- 49 Lyme Rd
C/O Hanover Terrace Healthcare
Hanover, NH 03755-1205 - Phone
- (603) 643-2854
- Fax
- (603) 643-1723
- NPI assigned
- Dec 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 030637-23-05 | NH | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 030637-23-05 | NH |
Addresses
Primary practice location
49 Lyme Rd
C/O Hanover Terrace Healthcare
Hanover, NH 03755-1205
Mailing address
1 Medical Center Dr
Lebanon, NH 03756-1000
Phone (603) 643-2854
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30344930 | Medicaid | NH | |
| 1013456 | Medicaid | VT |
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
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Maine Geriatrics Associates LLC | Adult Health | Past | Accepting new patients |
| Rousseau Enterprises, Inc. | Past | Accepting new patients | |
| Brattleboro Memorial Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
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.
-
- General Acute Care Hospital
- Brattleboro, VT
- NPI 1306849708
-
- Assisted Living Facility
- Brunswick, ME
- NPI 1558390112
-
- Geriatric Medicine (Internal Medicine) Physician
- Freeport, ME
- NPI 1366553091
Adult Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1700945664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-643-2854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 LYME RD",
"address_2": "C/O HANOVER TERRACE HEALTHCARE",
"city": "HANOVER",
"state": "NH",
"postal_code": "037551205",
"telephone_number": "603-643-2854",
"fax_number": "603-643-1723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONEY",
"first_name": "BARBARA",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-07",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NH",
"license": "030637-23-05",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NH",
"license": "030637-23-05",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30344930",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013456",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.