KATHLEEN MCCREA EVANS (NPI# 1063758340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063758340 |
| Entity Type | Individual |
| Full Name | KATHLEEN MCCREA EVANS |
| Credential | LCPC |
| Practice Address |
11 Medical Center Drive Brunswick ME 04011-2690 |
| Mailing Address |
78 Atlantic Place South Portland ME 04106-2316 |
| Practice Telephone | 2073739417 |
| Practice Fax Number | 2073739418 |
| Mailing Telephone | 2076616654 |
| Mailing Fax Number | 2078427773 |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2016-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC4671 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598129876 | Kathleen Evans | Optometrist | 7310 Yellowhorn Trl, Waxhaw, NC 28173-7465 | 2016-04-12 |
| 1609125533 | Kathleen Ann Evans | Dentist | 6411 State Highway 28, Fly Creek, NY 13337-3007 | 2012-09-06 |
| 1528351731 | Kathleen Dawn Evans | Speech-Language Pathologist | 16 Hardin Ln, Bozeman, MT 59718-8971 | 2011-05-20 |
| 1568484715 | Kathleen Berry Evans | Counselor | 4470 Nw 22nd Ave, Ocala, FL 34475-7240 | 2006-07-24 |
| 1841764917 | Kathleen Evans | Speech-Language Pathologist | 1413 Laskin Rd, Virginia Beach, VA 23451-6007 | 2019-01-11 |
| 1801370655 | Kathleen Mairin Evans | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2018-09-18 |
| 1710337209 | Kathleen Anne Evans | Internal Medicine | 575 W 181st St, New York, NY 10033-5002 | 2016-06-15 |
| 1336500826 | Kathleen Evans | Audiologist | 2657 Nottingham Way, Mercerville, NJ 08619-4109 | 2016-03-11 |
| 1477958361 | Kathleen Evans | Nurse Practitioner | 512 E Highland Blvd # 150, San Antonio, TX 78210-3521 | 2014-11-04 |
| 1790923563 | Kathleen Erin Evans | Internal Medicine | 2525 Us Highway 431, Boaz, AL 35957-5934 | 2009-02-01 |
| Street Address |
11 MEDICAL CENTER DRIVE |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013550250 | Kristen A Duran | Counselor | 127 F St Ste 202, Brunswick, GA 31520-6788 | 2019-10-21 |
| 1295256014 | Louanne M Robinson | Counselor | 37 Mill St Ste 8, Brunswick, ME 04011-1914 | 2017-07-01 |
| 1831627728 | Danielle Buccini | Counselor | 3487 Center Rd Ste 7c, Brunswick, OH 44212-3686 | 2017-05-23 |
| 1154858124 | Jennifer Mary Zak | Counselor | 664 Scranton Rd Ste 201, Brunswick, GA 31520-1947 | 2017-05-22 |
| 1447790498 | Julia B Waltman | Counselor | 169 Park Row Ste 8, Brunswick, ME 04011-2039 | 2017-02-24 |
| 1689110249 | Carrie Ligon | Counselor | 502 Gloucester St Ste 204, Brunswick, GA 31520-7092 | 2017-01-06 |
| 1053854521 | Mary Barnes | Counselor | 14 Saint Andrews Ct, Brunswick, GA 31520-6777 | 2016-11-30 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1043604671 | Stephanie Mayer | Counselor | 3110 Parkwood Dr, Brunswick, GA 31520-4735 | 2015-03-20 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| Find all providers in BRUNSWICK | ||||
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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.