Individual provider Active NPI

Jennifer Marie Maddocks

  • Registered Nurse
  • Belfast, ME
National Provider Identifier
1891624599
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN57791 Issued in ME
Practice address
219 Waldo Ave Apt 2
Belfast, ME 04915-6932
Phone
(207) 215-2236
NPI assigned
May 18, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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 RN57791 ME Primary

Addresses

Primary practice location

219 Waldo Ave Apt 2
Belfast, ME 04915-6932

Mailing address

219 Waldo Ave Apt 2
Belfast, ME 04915-6932
Phone (207) 215-2236

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

LicenseStateTypeSpecialty
RN57791MEMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1891624599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 WALDO AVE APT 2",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156932",
            "telephone_number": "207-215-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 WALDO AVE APT 2",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156932",
            "telephone_number": "207-215-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOCKS",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN57791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.