Nicole Perham, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN51564 Issued in ME

Practice address

24 Hunters LN
Lyman, ME 04002-7365

Phone

(207) 590-1407

NPI assigned

Nov 6, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1982248506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 962",
            "city": "ALFRED",
            "state": "ME",
            "postal_code": "040020962",
            "telephone_number": "207-590-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HUNTERS LN",
            "city": "LYMAN",
            "state": "ME",
            "postal_code": "040027365",
            "telephone_number": "207-590-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERHAM",
        "first_name": "NICOLE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": "ME",
            "license": "RN51564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goodwins Mills Rescue
• Susan E. Grant, OTR/L
• Kristalyn Keenan
• Yvette Macavinta
• Augusta O'Reilly, LCSW
• Carolyn D Pittman, RPH
• Town of Dayton
• Town of Lyman

• Community Health Registered Nurse in Lyman, ME
• Providers in Lyman, ME by specialty
• Community Health Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.