Active NPI
Dana L. Eustis, RNFA
- Registered Nurse First Assistant
- Portland, ME
National Provider Identifier
1740203157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- R029817
- Practice address
- 33 Sewall St
Portland, ME 04102-2603 - Phone
- (207) 828-2100
- Fax
- (207) 828-2190
- NPI assigned
- Jul 26, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | R029817 | ME | Primary |
Addresses
Primary practice location
33 Sewall St
Portland, ME 04102-2603
Mailing address
PO Box 1260
Portland, ME 04104-1260
Phone (207) 828-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041103 | Other | ME | ANTHEM RNFA STAR NO. |
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 |
|---|---|---|---|
| R029817 | ME | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740203157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1260",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041041260",
"telephone_number": "207-828-2100",
"fax_number": "207-828-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 SEWALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022603",
"telephone_number": "207-828-2100",
"fax_number": "207-828-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUSTIS",
"first_name": "DANA",
"middle_name": "L.",
"name_prefix": "Miss",
"credential": "RNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "ME",
"license": "R029817",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM RNFA STAR NO.",
"identifier": "041103",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
- Angelica Leah Estes-Lebrun, MSN-APRN, FNP-BC
- Hannah Denton Estlund, FNP-C
- Eternal Care Services LLC
- Ethier-Bennett LCSW, LLC (Ethier-Bennett LCSW)
- Sharon Ann Etzweiler, PH.D.
- Eva Goldfinger LCSW, LLC (ebb and grow counseling)
- Amanda S Evans Powell, LCSW
- Angela Lyn Evans, BCBA
- Brad Evans, M.D.
- Brittney Christine Evans, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.