Active NPIIndividual provider

Ms. Heather E Bacon, CNM

Advanced Practice Midwife in Portland, Maine

NPI Number1235261389
Practice location
163 Edwards St, Portland, ME 04102-2539
Fax
—
Last updated
August 6, 2015

Heather Elisabeth Bacon is an Advanced Practice Midwife based in Portland, ME. Heather Elisabeth Bacon practices in Portland, ME and has the professional credentials of CNM. The NPI Number for Heather Elisabeth Bacon is 1235261389 and holds a License No. 622397 (CA). The current practice location address for Heather Elisabeth Bacon is 163 Edwards St, Portland, ME 04102-2539 and can be reached out via phone at 619-401-3712.

Provider Profile Details

NPI Number
1235261389
Provider Name
Heather Elisabeth Bacon
Credential
CNM
Provider Entity Type
Individual
Gender
Female
Address
163 Edwards St, Portland, ME 04102-2539
Phone Number
619-401-3712
Primary Taxonomy
Advanced Practice Midwife · 367A00000X
Sole Proprietor
No
Provider Enumeration Date
March 12, 2007
Last Update Date
August 6, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
163 Edwards St
Portland, ME 04102-2539
State
Maine
Zip
04102-2539
Phone Number
619-401-3712
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
163 Edwards St
Portland, ME 04102-2539
City
Portland
State
ME
Zip
04102-2539

License Information

License Number (1)
622397
License State (1)
CA
Taxonomy (1)
Registered Nurse, Community Health · 163WC1500X
Taxonomy (2)
Advanced Practice Midwife · 367A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Heather E Bacon, CNM?

The NPI number of Ms. Heather E Bacon, CNM is 1235261389. It was assigned on March 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Heather E Bacon, CNM?

Ms. Heather E Bacon, CNM is registered under the primary taxonomy Advanced Practice Midwife (code 367A00000X), licensed in CA under license number 622397.

Where does Ms. Heather E Bacon, CNM practice?

The practice location is 163 Edwards St, Portland, ME 04102-2539. The office can be reached at 619-401-3712 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235261389 directly on the NPPES registry website.

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