Organization Active NPI

Village Family Health Care LLC

  • Family Medicine Physician
  • York, ME
National Provider Identifier
1790458388
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VILLAGE FAMILY HEALTH CARE LLC
Practice address
1 Brickyard LN Ste Ee
York, ME 03909-1681
Phone
(207) 305-0965
NPI assigned
Jul 29, 2021
Last updated
Nov 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Kerri I Neel, FNPNPI 1023074424
Title
Family Nurse Practitioner
Phone
(207) 305-0965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1 Brickyard LN Ste Ee
York, ME 03909-1681

Mailing address

1 Brickyard LN Ste Ee
York, ME 03909-1681
Phone (207) 305-0965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211105001125 ME Part B Supplier - Clinic/Group Practice 6406245844 Receives reassigned benefits from 3 practitioners
Practice locations: York, ME

National Provider Directory

National Provider Directory

Locations

1 Brickyard Ln
Ste Ee
York, ME 03909
Phone (207) 305-0965

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJDFCD

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1790458388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRICKYARD LN STE EE",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091681",
            "telephone_number": "207-305-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRICKYARD LN STE EE",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091681",
            "telephone_number": "207-305-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE FAMILY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "NEEL",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "207-305-0965",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.