MINUTECLINIC DIAGNOSTIC OF MAINE, LLC
NPI 1063151769
Nurse Practitioner - Family in South Portland, ME

NPI Status: Active since June 01, 2022

Contact Information

51 MARKET ST
SOUTH PORTLAND, ME
ZIP 04106
Phone: (866) 389-2727

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Nurse Practitioner
Family

About MINUTECLINIC DIAGNOSTIC OF MAINE, LLC

This page provides the complete NPI Profile along with additional information for Minuteclinic Diagnostic Of Maine, Llc, a provider established in South Portland, Maine operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1063151769 assigned on June 2022. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Minuteclinic Diagnostic Of Maine, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Deborah Jean Pincince (Administrator)

NPI: 1063151769
Provider Name: MINUTECLINIC DIAGNOSTIC OF MAINE, LLC
Entity Type: Organization
Location Address: 51 MARKET ST SOUTH PORTLAND, ME 04106
Location Phone: (866) 389-2727
Mailing Address: 1 CVS DR WOONSOCKET, RI 02895
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 06-01-2022
Last Update Date: 06-01-2022
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A nurse practitioner (NP) like Minuteclinic Diagnostic Of Maine, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Practitioner Family
Taxonomy Code: 363LF0000X
Type: Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	1041C0700X	Behavioral Health & Social Service Providers	Social Worker Clinical
2	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DEBORAH JEAN PINCINCE
Authorized Official Title: ADMINISTRATOR
Authorized Official Phone: (401) 770-3813

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	6	3	1	5	1	7	6	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	12	3	2	5	2	7	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 2 + 5 + 2 + 7 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 9									9

The NPI number 1063151769 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.