GRANITE HILL FAMILY MEDICINE LLC (NPI# 1114539400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114539400 |
| Entity Type | Organization |
| Organization Name | GRANITE HILL FAMILY MEDICINE LLC |
| Practice Address |
89 Water St Hallowell ME 04347-1477 |
| Mailing Address |
Po Box 563 Manchester ME 04351-0563 |
| Practice Telephone | 2074801265 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | ELIZABETH HARWOOD (CEO) |
| Authorized Official Telephone | 2074801265 |
| Authorized Official Credential | CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
89 WATER ST |
| City | HALLOWELL |
| State | ME |
| Zip Code | 04347-1477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903443 | Olivia Rose Gorneau | Massage Therapist | 128 Second Street, Hallowell, ME 04347 | 2019-10-11 |
| 1336662451 | Thomas Jeffrey Benn | Social Worker | 276 Whitten Road, Suite # 2, Hallowell, ME 04347 | 2017-07-20 |
| 1275766792 | Regional School Unit 2 | Local Education Agency (LEA) | 7 Reed Street, Hallowell, ME 04347 | 2009-09-01 |
| 1780897595 | Maine School Administrative District #16 (msad #16) | Local Education Agency (LEA) | 7 Reed St, Hallowell, ME 04347 | 2007-05-08 |
| 1275672032 | Patricia Ferullo Halperin | Social Worker | 116 Second Street, #1, Hallowell, ME 04347 | 2007-02-06 |
| 1427145994 | Hallowell Family Practice LLC | Family Medicine | 9 Union Street, Hallowell, ME 04347 | 2006-10-06 |
| 1871686329 | Lori Green-stade | Counselor | 52 Water Street, Hallowell, ME 04347 | 2006-10-02 |
| 1750473138 | Jeanette C Jones | Occupational Therapist | 71 Water St, #34, Hallowell, ME 04347 | 2006-09-29 |
| 1861408700 | Cathy Jeanne Cumler-dennis | Social Worker | 6 Stoddard Ln, Hallowell, ME 04347 | 2006-07-31 |
| 1851376065 | Nathan Richard Murray-james | Family Medicine | 9 Union St, Hallowell, ME 04347 | 2005-12-09 |
| Find all providers in zip 04347 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| 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 |
| 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 |
| 1629624259 | Madelyn Tyack | Nurse Practitioner | 11 Hunnewell Rd, Scarborough, ME 04074-9539 | 2019-08-09 |
| Find all providers with the same taxonomy | ||||
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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.