LISA M. ENO (NPI# 1003898677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003898677 |
Entity Type | Individual |
Full Name | LISA M. ENO |
Credential | FNP |
Practice Address |
197 East Main Street Suite 101 Fort Kent ME 04743 |
Mailing Address |
194 East Main Street Fort Kent ME 04743 |
Practice Telephone | 2078346784 |
Practice Fax Number | 2078342967 |
Mailing Telephone | 2078346784 |
Mailing Fax Number | 2078342967 |
Enumeration Date | 2005-11-18 |
Last Update Date | 2012-01-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP081368 | ME | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R034632 | ME | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 999010617 | 05 | |
ANTHEM | D46407 | 01 | |
ME | 266740099 | 05 |
Street Address |
197 EAST MAIN STREET SUITE 101 |
City | FORT KENT |
State | ME |
Zip Code | 04743 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609483874 | Megan K Pelletier | Pharmacist | Address: 182 Market St Suite 2, Fort Kent, ME 04743 | 2020-09-30 |
1629344171 | Sherry Marie Stedt | Massage Therapist | 590 Caribou Rd, Fort Kent, ME 04743 | 2012-03-29 |
1215140181 | School Administrative District 27 | Student in an Organized Health Care Education/Training Program | 84 Pleasant Street, Suite 1, Fort Kent, ME 04743 | 2007-05-08 |
1578785846 | M.s.a.d.#27 | Student in an Organized Health Care Education/Training Program | 108 Pleasant Street, Fort Kent, ME 04743 | 2007-05-03 |
1598880122 | Kristy Jo Nadeau | Social Worker | 210 Market St., Fort Kent, ME 04743 | 2007-03-20 |
1619066297 | Paul W Tisher | Psychiatry & Neurology | 104 East Main Street, Fort Kent, ME 04743 | 2006-10-12 |
1326150467 | Paul Huges Mcbreairty | Obstetrics & Gynecology | 468 St John Rd, Fort Kent, ME 04743 | 2006-08-31 |
1356459739 | Louis J Paradis Inc | Pharmacy | 62 West Main Street, Suite 101, Fort Kent, ME 04743 | 2006-08-27 |
1023024585 | Richard Raymond | Dentist | 139 Market Street, Suite 107, Fort Kent, ME 04743 | 2006-08-01 |
1952303422 | St John Valley Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 182 Market St, Ste 2, Fort Kent, ME 04743 | 2005-08-13 |
Find all providers in zip 04743 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063677987 | Lisa H. Martin | Nurse Practitioner | 3 Mountainview Dr, Fort Kent, ME 04743-1614 | 2008-07-21 |
1093330441 | Stephanie Lynne Michaud | Nurse Practitioner | 194 E Main St, Fort Kent, ME 04743-1428 | 2020-06-11 |
1417434804 | Sarah Patricia Pelletier | Nurse Practitioner | 12 Bolduc Ave, Fort Kent, ME 04743-1602 | 2018-07-27 |
1417312158 | Tyler James Stoliker | Nurse Practitioner | 194 E Main St, Fort Kent, ME 04743-1428 | 2015-12-23 |
1346422193 | Christy L. Madore | Nurse Practitioner | 194 E Main St, Fort Kent, ME 04743-1428 | 2007-12-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730788852 | Kimberly Harvell | Nurse Practitioner | 37 Palmer Ln, Ste 3, Calais, ME 04619-1341 | 2020-10-20 |
1013515790 | Jana H Christman | Nurse Practitioner | 81 Medical Center Dr Ste 2150, Brunswick, ME 04011-2764 | 2020-10-14 |
1114539400 | Granite Hill Family Medicine LLC | Nurse Practitioner | 89 Water St, Hallowell, ME 04347-1477 | 2020-08-19 |
1073139465 | Jaclyn Kimberly Foraker | Nurse Practitioner | 885 Union St Ste 215, Bangor, ME 04401-3092 | 2020-06-22 |
1962023630 | Amy E Rousseau | Nurse Practitioner | 96 Campus Ave Ste 214, Lewiston Me, ME 04240-6019 | 2020-05-04 |
1952921488 | Amanda Rose Robbio | Nurse Practitioner | 244 Lakewood Rd, Skowhegan, ME 04950 | 2020-04-24 |
1114566650 | Sadie Garnache-poirier | Nurse Practitioner | 65 W Commercial St Ste 107, Portland, ME 04101-4789 | 2020-01-02 |
1902441629 | Jennifer Marie Colpitts | Nurse Practitioner | 1600 Congress St Ste B, Portland, ME 04102-2148 | 2019-11-18 |
1710529680 | Natasha Lynn Williamson | Nurse Practitioner | 63 Hurricane Rd, Gorham, ME 04038-2414 | 2019-10-11 |
1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.