Jessie Sherwood Nault, GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

CNP131110 Issued in ME

Practice address

66 Bramhall St
Portland, ME 04102-3344

Phone

(207) 662-3157

Fax

(207) 662-4257

NPI assigned

Feb 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Impact Health Me, LLC

  • Nurse Practitioner
  • Yarmouth, ME
  • NPI 1518432574
  NPD
• Maine Medical Partners

  • Surgery Physician
  • Scarborough, ME
  • NPI 1346687167
  NPD
• Maine Medical Partners

  • Internal Medicine Physician
  • Cape Elizabeth, ME
  • NPI 1598780447
  NPD
• Maine Medical Partners

  • Geriatric Medicine (Family Medicine) Physician
  • Portland, ME
  • NPI 1790976074
  NPD

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1740512813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301C US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749701",
            "telephone_number": "207-396-8600",
            "fax_number": "207-396-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023344",
            "telephone_number": "207-662-3157",
            "fax_number": "207-662-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAULT",
        "first_name": "JESSIE",
        "middle_name": "SHERWOOD",
        "name_prefix": "Mrs.",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "R050975",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "ME",
            "license": "CNP131110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN  LICENSE",
            "identifier": "R050975",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Nason, PA-C
• Natalie Bornstein Psychotherapy LLC
• Natalie Szumel LLC
• Nationwide Sleep Diagnostics, LLC
• Julia Marie Natoli, MD
• Chellam Nayar, MD
• Melissa Ndouboudi, PMHNP
• Innocent Adrien Ndzana, D.O.
• Melissa Sue Neault, P.T.
• Lisa N Neavyn, M.D.

• Gerontology Nurse Practitioner in Portland, ME
• Providers in Portland, ME by specialty
• Gerontology Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.