RENEE S FAGONE (NPI# 1164653879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164653879 |
Entity Type | Individual |
Full Name | RENEE S FAGONE |
Credential | NP |
Practice Address |
12 High St Suite 400 Lewiston ME 04240-7676 |
Practice Telephone | 2077955700 |
Practice Fax Number | 2077955727 |
Mailing Telephone | 2077955700 |
Mailing Fax Number | 2077955727 |
Enumeration Date | 2009-07-29 |
Last Update Date | 2017-05-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
CNP91032 | ME | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
12 HIGH ST SUITE 400 |
City | LEWISTON |
State | ME |
Zip Code | 04240-7676 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205838570 | David Clark Caldwell | Internal Medicine | 12 High St, Ste 205, Lewiston, ME 04240-7676 | 2005-06-01 |
1750991014 | Kayla Ann Harris | Pharmacist | 12 High St, Lewiston, ME 04240-7676 | 2020-08-03 |
1063046597 | Angelica Leah Estes-lebrun | Nurse Practitioner | 12 High St, Lewiston, ME 04240-7676 | 2020-02-24 |
1154988046 | Joseph Renda IIi | Pharmacist | 12 High St, Lewiston, ME 04240-7676 | 2019-05-26 |
1750862769 | Alex Beggs | Internal Medicine | 12 High St, Lewiston, ME 04240-7676 | 2018-08-27 |
1912488149 | Jared J Morin | Nurse Practitioner | 12 High St, Lewiston, ME 04240-7676 | 2018-08-26 |
1194201988 | Kaitlyn Bernard | Pharmacist | 12 High St, Lewiston, ME 04240-7676 | 2018-07-14 |
1801347604 | Jennifer-lynn Flynn | Nurse Practitioner | 12 High St, Suite 301, Lewiston, ME 04240-7676 | 2016-10-18 |
1578916706 | Jeffrey Robertson | Pharmacist | 12 High St, Lewiston, ME 04240-7676 | 2016-07-23 |
1962854786 | Brianna Boutin | Nurse Practitioner | 12 High St, Suite 301, Lewiston, ME 04240-7676 | 2016-07-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
Find all providers in zip 04240 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891933677 | Sarah Katherine Adams | Nurse Practitioner | 99 Campus Ave Ste 201, Lewiston, ME 04240-6045 | 2009-02-02 |
1407049745 | Noelle Suzanne Lohr | Nurse Practitioner | 710 Seneca St, Lewiston, NY 14092-1719 | 2007-08-21 |
1710534169 | Catherine Salk | Nurse Practitioner | 287 Main St Ste 404, Lewiston, ME 04240-7056 | 2019-08-21 |
1295248029 | Robert Byron Curtis | Nurse Practitioner | 33 Roger St, Lewiston, ME 04240-3328 | 2017-11-15 |
1982093613 | Sarah Menke | Nurse Practitioner | 12 High St, Lewiston, ME 04240-7676 | 2015-01-19 |
1417372335 | Virginia Shaw Coleman | Nurse Practitioner | 93 Campus Ave, Lewiston, ME 04240 | 2014-02-28 |
1972800431 | Giovanna Plouffe | Nurse Practitioner | 5320 Military Rd, Suite 105, Lewiston, NY 14092-2149 | 2011-02-18 |
1447408760 | Rosa L Hamilton | Nurse Practitioner | 287 Main St, Ste. 404, Lewiston, ME 04240-7054 | 2008-08-28 |
1033382809 | Stacy Jean Neiswonger | Nurse Practitioner | 5300 Military Rd, Lewiston, NY 14092-1903 | 2008-04-11 |
1205009776 | Caitlin Elizabeth Briggs | Nurse Practitioner | 5300 Military Road, Mt. St. Mary's Hospital Department of Cardiology, Lewiston, NY 14092 | 2008-04-07 |
Find all providers in LEWISTON |
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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.