Active NPI
Emily Jordan Malone, MA
- Family Medicine Physician
- Houlton, ME
National Provider Identifier
1992260731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- CNA61758
- Practice address
- 59 Bangor St
Houlton, ME 04730-1740 - Phone
- (207) 538-3700
- NPI assigned
- Feb 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CNA61758 | ME | Primary |
Addresses
Primary practice location
59 Bangor St
Houlton, ME 04730-1740
Mailing address
59 Bangor St
Houlton, ME 04730-1740
Phone (207) 538-3700
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNA61758 | ME | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1992260731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 BANGOR ST",
"city": "HOULTON",
"state": "ME",
"postal_code": "047301740",
"telephone_number": "207-538-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 BANGOR ST",
"city": "HOULTON",
"state": "ME",
"postal_code": "047301740",
"telephone_number": "207-538-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "EMILY",
"middle_name": "JORDAN",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-06",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "CNA61758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houlton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.