NPIMap

Individual provider Active NPI

Taylor Elizabeth Damiano, CNP

  • Adult Health Nurse Practitioner
  • South Portland, ME
National Provider Identifier
1922610229
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
CNP211338 Issued in ME
Practice address
265 Western Ave Ste 2
South Portland, ME 04106-2458
Phone
(207) 661-0200
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN2307119 MA
Adult Health Nurse Practitioner 363LA2200X CNP211338 ME Primary

Addresses

Primary practice location

265 Western Ave Ste 2
South Portland, ME 04106-2458

Mailing address

265 Western Ave
South Portland, ME 04106-2458
Phone (207) 661-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME2 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
I20201109000314 MA Practitioner - Nurse Practitioner 0143630897 Reassigns benefits to 1 organization
I20211129001745 ME Practitioner - Nurse Practitioner 0143630897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

27 Industrial Ave
Suite 101
Sanford, ME 04073-5846
Phone (207) 459-1666

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2307119MAMDAdult Health Nurse Practitioner
CNP211338MEMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners CurrentSince Nov 28, 2021 Accepting new patients
Maine Medical Partners Adult Health Current Accepting new patients
Pratt Medical Group, Inc CurrentSince Oct 26, 2020 Accepting new patients
Mainehealth CurrentSince Nov 28, 2021 Accepting new patients
Mainehealth CurrentSince Nov 28, 2021 Accepting new patients
Maine Medical Partners Adult Health CurrentSince Nov 28, 2021 Accepting new patients
Mainehealth Current Accepting new patients
Pratt Medical Group, Inc CurrentSince Oct 26, 2020 Accepting new patients
Pratt Medical Group, Inc Current Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

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

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

265 Western Ave
Ste 2
South Portland, ME 04106
Phone (207) 661-0200

265 Western Ave
South Portland, ME 04106
Phone (207) 661-0200

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

Interoperability endpoints

  • Direct secure messaging: tmaffett452622@direct.mmc.mainehealth.org

Organizations & group practices 9

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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1922610229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 WESTERN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062458",
            "telephone_number": "207-661-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 WESTERN AVE STE 2",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062458",
            "telephone_number": "207-661-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMIANO",
        "first_name": "TAYLOR",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2307119",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ME",
            "license": "CNP211338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.