JACLYN LUCKHARDT (NPI# 1184274631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184274631 |
Entity Type | Individual |
Full Name | JACLYN LUCKHARDT |
Practice Address |
37 College Ave Gorham ME 04038-1032 |
Practice Telephone | 6038458427 |
Enumeration Date | 2019-09-17 |
Last Update Date | 2019-09-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
37 COLLEGE AVE |
City | GORHAM |
State | ME |
Zip Code | 04038-1032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720026818 | Mary M Scannell | Nurse Practitioner | 37 College Ave, 110 Upton Hall, Gorham, ME 04038-1032 | 2006-06-02 |
1801446356 | Allison Elizabeth Little | Student in an Organized Health Care Education/Training Program | 37 College Ave, Gorham, ME 04038-1099 | 2019-09-17 |
1871077271 | Alexandra Srolovitz | Specialist/Technologist | 37 College Ave, Gorham, ME 04038-1032 | 2018-09-20 |
1770067647 | Joseph Rand Davenport II | Specialist/Technologist | 37 College Ave, Gorham, ME 04038-1032 | 2018-09-18 |
1487138434 | Logan L Gailitis | Specialist/Technologist | 37 College Ave, Gorham, ME 04038-1032 | 2018-09-15 |
1205336161 | Kelleigh O'neill | Specialist/Technologist | 37 College Ave, Gorham, ME 04038-1032 | 2018-02-17 |
1992166847 | Shelby Watts | Specialist/Technologist | 37 College Ave, Gorham, ME 04038 | 2016-03-18 |
1518335462 | Samar Jamali | Nurse Practitioner | 37 College Ave, University Health and Counseling, Gorham, ME 04038-1032 | 2015-09-09 |
1821498957 | Benjamin Towne | Specialist/Technologist | 37 College Ave, Costello Sports Complex, Gorham, ME 04038-1032 | 2014-08-26 |
1780020941 | University of Maine System | Clinic/Center | 37 College Ave, 125 Upton Hall, Gorham, ME 04038-1032 | 2013-05-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134749039 | Lindsey Anne Thomsen | Physician Assistant | 15 Caitlin Drive, Gorham, ME 04038 | 2020-04-21 |
1124537600 | Helping Hearts Home Care | Home Health | 46 Farrington Rd, Gorham, ME 04038 | 2017-09-27 |
1689109019 | Deborah Ann Cooper | In Home Supportive Care | 46 Farrington Road, Gorham, ME 04038 | 2017-04-24 |
1184056400 | Katherine Pritchard | Speech-Language Pathologist | 1002 Wagner Farm Road, Gorham, ME 04038 | 2013-08-09 |
1043565013 | Jennifer Brooke Turcotte | Social Worker | 697b Gray Rd, Gorham, ME 04038 | 2012-07-17 |
1326356296 | Gail Trefethern-kelley | Occupational Therapist | 75 School Street, Suite 2, Gorham, ME 04038 | 2010-09-14 |
1396963245 | Jaime Marie Tardif | Social Worker | 72 Justice Way, Gorham, ME 04038 | 2007-04-23 |
1033234224 | Marie A Pedersen | Social Worker | 39 Finn Parker Road, Gorham, ME 04038 | 2007-03-20 |
1205971330 | Victor Liberi | Specialist/Technologist | 33 College Ave., University of So. Maine, Gorham, ME 04038 | 2007-02-20 |
1467595322 | Susanne Martornao | Occupational Therapist | 14 Murray Drive, Gorham, ME 04038 | 2007-02-14 |
Find all providers in zip 04038 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881224848 | Narissa Mae Libby | Student in an Organized Health Care Education/Training Program | 9 Queen St, Gorham, ME 04038-2628 | 2020-01-17 |
1821531229 | Jessica Stewart | Student in an Organized Health Care Education/Training Program | 80 Lancaster Rd, Gorham, NH 03581-1411 | 2016-12-02 |
1801446356 | Allison Elizabeth Little | Student in an Organized Health Care Education/Training Program | 37 College Ave, Gorham, ME 04038-1099 | 2019-09-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
1609498948 | Callan Donovan | Student in an Organized Health Care Education/Training Program | 8 Hedgerow Dr, Falmouth, ME 04105-1407 | 2020-05-09 |
1588285977 | Robert Rousseau | Student in an Organized Health Care Education/Training Program | 745 W Auburn Rd, Auburn, ME 04210-8506 | 2020-04-27 |
1639708050 | Jeffrey Littlefield | Student in an Organized Health Care Education/Training Program | 55a Blueberry Ln, Gray, ME 04039-9734 | 2020-04-07 |
1174152920 | John Weare Knight | Student in an Organized Health Care Education/Training Program | 1901 Us Route 1, Cape Neddick, ME 03902-7530 | 2020-04-03 |
1023647898 | Jillian Mei-ling Liu | Student in an Organized Health Care Education/Training Program | 22 Bramhall St # 5323a, Portland, ME 04102-3134 | 2020-04-03 |
1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
1790313781 | Brianna Marie Philbrick | Student in an Organized Health Care Education/Training Program | 22 Bramhall St # 2b, Portland, ME 04102-3175 | 2020-03-27 |
1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
1639706997 | Julia Rosner | Student in an Organized Health Care Education/Training Program | 22 Bramhall St # P5a5323, Portland, ME 04102-3175 | 2020-03-26 |
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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.