Individual provider Active NPI

Ellen F. Kingsbury, A.R.N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Portsmouth, NH
National Provider Identifier
1871622993
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
036015-23-08 Issued in NH
Practice address
100 Shattuck Way Ste 200
Portsmouth, NH 03801-8004
Phone
(603) 431-6677
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 036015-23-08 NH Primary

Addresses

Primary practice location

100 Shattuck Way Ste 200
Portsmouth, NH 03801-8004

Mailing address

100 Shattuck Way Ste 200
Portsmouth, NH 03801-8004
Phone (603) 431-6677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1871622993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHATTUCK WAY STE 200",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038018004",
            "telephone_number": "603-431-6677",
            "fax_number": "603-610-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SHATTUCK WAY STE 200",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038018004",
            "telephone_number": "603-431-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSBURY",
        "first_name": "ELLEN",
        "middle_name": "F.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "036015-23-08",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.