Individual provider Active NPI

Elisha Steward

  • Registered Nurse
  • Farmingdale, ME
National Provider Identifier
1710399720
Registry record updated May 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R057787 Issued in ME
Practice address
71 Easy St
Farmingdale, ME 04344-2904
Phone
(207) 624-1696
NPI assigned
May 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R057787 ME Primary

Addresses

Primary practice location

71 Easy St
Farmingdale, ME 04344-2904

Mailing address

71 Easy St
Farmingdale, ME 04344-2904
Phone (207) 624-1696

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

LicenseStateTypeSpecialty
R057787MEMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1400976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400976000000",
    "number": "1710399720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 EASY ST",
            "city": "FARMINGDALE",
            "state": "ME",
            "postal_code": "043442904",
            "telephone_number": "207-624-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 EASY ST",
            "city": "FARMINGDALE",
            "state": "ME",
            "postal_code": "043442904",
            "telephone_number": "207-624-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWARD",
        "first_name": "ELISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-25",
        "last_updated": "2014-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "R057787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.