Organization Active NPI

Deirdre Sulka-Meister FNP LLC

  • Point of Service
  • South Portland, ME
National Provider Identifier
1790156792
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
CNP111057 Issued in ME
Legal business name
DEIRDRE SULKA-MEISTER FNP LLC
Practice address
100 Brickhill Ave
Ste 304
South Portland, ME 04106-1999
Phone
(207) 761-4700
Fax
(207) 761-4744
NPI assigned
Oct 15, 2015
Last updated
Nov 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Ms. Deirdre Sulka-Meister, FNP
Title
Owner
Phone
(207) 761-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X CNP111057 ME Primary

Addresses

Primary practice location

100 Brickhill Ave
Ste 304
South Portland, ME 04106-1999

Mailing address

100 Brickhill Ave
Ste 304
South Portland, ME 04106-1999
Phone (207) 761-4700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1790156792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRICKHILL AVE",
            "address_2": "STE 304",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061999",
            "telephone_number": "207-761-4700",
            "fax_number": "207-761-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRICKHILL AVE",
            "address_2": "STE 304",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061999",
            "telephone_number": "207-761-4700",
            "fax_number": "207-761-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEIRDRE SULKA-MEISTER FNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "SULKA-MEISTER",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-761-4700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "ME",
            "license": "CNP111057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.