Active NPI
Jennifer Ziegra
- Registered Nurse
- Boothbay, ME
National Provider Identifier
1801323100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN62790
- Practice address
- 49 Page LN
Boothbay, ME 04537-4328 - Phone
- (207) 380-2736
- NPI assigned
- May 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 163W00000X | RN62790 | ME | Primary |
Addresses
Primary practice location
49 Page LN
Boothbay, ME 04537-4328
Mailing address
3715 Business Drive
Suite 202
Fayetteville, AR 72703-5204
Phone (207) 402-7926
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 |
|---|---|---|---|
| RN62790 | ME | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trestletree, LLC | Registered Nurse | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1801323100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3715 BUSINESS DRIVE",
"address_2": "SUITE 202",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035204",
"telephone_number": "207-402-7926",
"fax_number": "479-582-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 PAGE LN",
"city": "BOOTHBAY",
"state": "ME",
"postal_code": "045374328",
"telephone_number": "207-380-2736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIEGRA",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ME",
"license": "RN62790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boothbay, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.