Individual provider Active NPI

Jennifer Lee Bean, RN, PHN

  • Registered Nurse
  • Brunswick, ME
National Provider Identifier
1871782086
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R052167 Issued in ME
Practice address
329 Bath Rd
Brunswick, ME 04011-2673
Phone
(207) 373-3099
Fax
(207) 373-3098
NPI assigned
Oct 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R052167 ME Primary

Addresses

Primary practice location

329 Bath Rd
Brunswick, ME 04011-2673

Mailing address

329 Bath Rd
Brunswick, ME 04011-2673
Phone (207) 373-3099

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R052167MEMDRegistered Nurse

Interoperability endpoints

  • Direct secure messaging: jen.beans.p1@direct.portlandchc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1871782086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 BATH RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112673",
            "telephone_number": "207-373-3099",
            "fax_number": "207-373-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 BATH RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112673",
            "telephone_number": "207-373-3099",
            "fax_number": "207-373-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "R052167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.