NPIMap

Organization Active NPI

Merideth C Norris PA

Doing business as Graceful Recovery

  • Addiction Medicine (Family Medicine) Physician
  • Kennebunk, ME
National Provider Identifier
1972996304
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
1813 Issued in ME
Legal business name
MERIDETH C NORRIS PA
Doing business as
Graceful Recovery
Practice address
58 Portland Rd
Suite 18
Kennebunk, ME 04043-6656
Phone
(207) 604-5034
NPI assigned
Mar 10, 2015
Last updated
Mar 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Dr. Merideth Catherine Norris, DONPI 1386684868
Title
Physician/Owner
Phone
(207) 604-5034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 1813 ME Primary

Addresses

Primary practice location

58 Portland Rd
Suite 18
Kennebunk, ME 04043-6656

Mailing address

58 Portland Rd
Suite 18
Kennebunk, ME 04043-6656
Phone (207) 604-5034

Other identifiers 2

IdentifierTypeStateIssuer
280670099MedicaidME
E100136968OtherMEETAN

Other names 1

  • Graceful Recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Graceful Recovery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1972996304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 PORTLAND RD",
            "address_2": "SUITE 18",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436656",
            "telephone_number": "207-604-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 PORTLAND RD",
            "address_2": "SUITE 18",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436656",
            "telephone_number": "207-604-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDETH C NORRIS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "MERIDETH",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "207-604-5034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "ME",
            "license": "1813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280670099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ETAN",
            "identifier": "E100136968",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graceful Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennebunk, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.