Active NPI
Elizabeth Julia Drury, NP
- Psychiatric/Mental Health Nurse Practitioner
- Boothbay Harbor, ME
National Provider Identifier
1851331375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CNP81960
- Practice address
- 19 St Andrew's Lane
Boothbay Harbor, ME 04538 - Phone
- (207) 633-7820
- Fax
- (207) 633-7082
- NPI assigned
- Jun 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP81960 | ME | Primary |
| Registered Nurse | 163W00000X | RN54496 | ME |
Addresses
Primary practice location
19 St Andrew's Lane
Boothbay Harbor, ME 04538
Mailing address
PO Box 745
Newcastle, ME 04553
Phone (207) 563-4146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188898 | Other | ME | LICENSE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN54496 | ME | MD | Registered Nurse |
| CNP81960 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430438400000",
"number": "1851331375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 745",
"city": "NEWCASTLE",
"state": "ME",
"postal_code": "04553",
"telephone_number": "207-563-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 ST ANDREW'S LANE",
"city": "BOOTHBAY HARBOR",
"state": "ME",
"postal_code": "04538",
"telephone_number": "207-633-7820",
"fax_number": "207-633-7082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRURY",
"first_name": "ELIZABETH",
"middle_name": "JULIA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2015-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ME",
"license": "CNP81960",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ME",
"license": "RN54496",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "188898",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boothbay Harbor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.