NPIMap

Individual provider Active NPI

Nathalie Kearns Davidson, NP

  • Family Nurse Practitioner
  • Portland, ME
National Provider Identifier
1881090629
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP181140 Issued in ME
Practice address
22 Bramhall St
Portland, ME 04102-3134
Phone
(207) 662-2911
NPI assigned
Nov 6, 2014
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP181140 ME Primary
Family Medicine Physician 207Q00000X 181140 ME
Internal Medicine Physician 207R00000X 181140 ME

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102-3134

Mailing address

22 Bramhall St
Portland, ME 04102-3134
Phone (617) 319-4417

Other practice location 1

655 Main St
Saco, ME 04072-1699
Phone (207) 602-3571

Other identifiers 2

IdentifierTypeStateIssuer
72658OtherMERN
181140OtherMEAPP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190425002527 ME Practitioner - Nurse Practitioner 8527381789 Reassigns benefits to 5 organizations
I20250708003041 MA Practitioner - Nurse Practitioner 8527381789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2 Corporation Way
Suite 180
Peabody, MA 01960-7996
Phone (978) 532-6111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
181140MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
Maine Medical Partners CurrentSince Dec 29, 2019 Accepting new patients
Maine Medical Partners Family Medicine CurrentSince Dec 29, 2019 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc Internal Medicine CurrentSince Jun 27, 2025 Accepting new patients
Maine Medical Partners Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Maine Medical Partners Family CurrentSince Apr 1, 2023 Accepting new patients
University of New England Family Medicine CurrentSince Sep 11, 2023 Accepting new patients
North Shore Medical Center, Inc. Current Accepting new patients
University of New England CurrentSince Sep 11, 2023 Accepting new patients
North Shore Medical Center, Inc. PastSince Jun 27, 2025 Accepting new patients

Locations

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

2 Corporation Way
Ste 180
Peabody, MA 01960
Phone (781) 248-1766

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

54 Gullivers Way
Portland, ME 04103

716 Stevens Ave
Portland, ME 04103
Phone (207) 221-4242

655 Main St
Saco, ME 04072
Phone (207) 283-1407

96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491

1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360

1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: davidson.nathalie.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: ndavidson253652@direct.mmc.mainehealth.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1881090629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "617-319-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-662-2911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Main St",
            "address_purpose": "LOCATION",
            "city": "Saco",
            "state": "ME",
            "postal_code": "040721699",
            "country_code": "US",
            "telephone_number": "207-602-3571",
            "fax_number": "207-602-3573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "NATHALIE",
        "middle_name": "KEARNS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP181140",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "181140",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "181140",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "72658",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APP LICENSE",
            "identifier": "181140",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.