KRISTA BELLASSAI (NPI# 1194109652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194109652 |
Entity Type | Individual |
Full Name | KRISTA BELLASSAI |
Credential | PA |
Practice Address |
118 Northport Ave Belfast ME 04915-6009 |
Practice Telephone | 2073382500 |
Mailing Telephone | 5853382500 |
Enumeration Date | 2015-07-15 |
Last Update Date | 2016-08-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
018739 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 04247054 | 05 |
Street Address |
118 NORTHPORT AVE |
City | BELFAST |
State | ME |
Zip Code | 04915-6009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881690162 | Robert P Walker | Radiology | 118 Northport Ave, Belfast, ME 04915-6009 | 2005-06-22 |
1619537586 | Lariah Langis | Physical Therapy Assistant | 118 Northport Ave, Belfast, ME 04915-6072 | 2019-06-13 |
1457910556 | Sunny Rae Bolduc | Occupational Therapist | 118 Northport Ave, Belfast, ME 04915-6009 | 2019-06-12 |
1902465198 | Alissa Randolph | Physical Therapist | 118 Northport Ave, Belfast, ME 04915-6009 | 2019-06-11 |
1881153807 | Catherine Gerrish | Occupational Therapy Assistant | 118 Northport Ave, Belfast, ME 04915-6009 | 2019-03-19 |
1235697079 | George Alexander Orestis | Occupational Therapy Assistant | 118 Northport Ave, Belfast, ME 04915-6009 | 2019-03-12 |
1760940522 | Lorraine Bent Sloane | Physical Therapist | 118 Northport Ave, Belfast, ME 04915-6072 | 2019-03-11 |
1427516939 | Peter W Klausmeyer | Physical Therapist | 118 Northport Ave, Belfast, ME 04915-6009 | 2019-03-05 |
1437617941 | Adam Landwehr | Physical Therapist | 118 Northport Ave, Belfast, ME 04915-6009 | 2019-03-05 |
1962960492 | Patricia Ann Blake | Physical Therapist | 118 Northport Ave, Belfast, ME 04915-6072 | 2019-03-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578049201 | Elizabeth Ann Owen-mishou | Speech-Language Pathologist | Waldo County General Hospital/mainehealth, 118 Northport Avenue, Belfast, ME 04915 | 2018-07-16 |
1407365489 | Steven James Hoffman | Physical Therapist | 80 Spring St., Belfast, ME 04915 | 2017-09-22 |
1104281534 | Private Home Care, Inc. | Technician | 243 High St., 2nd Floor, Belfast, ME 04915 | 2015-12-30 |
1568836559 | Carmen Elizabeth Williams | Social Worker | 41 Wight Street, Belfast, ME 04915 | 2015-11-14 |
1982099453 | Just Me In Home Care | In Home Supportive Care | 126 Harriman Rd, Swanville, ME 04915 | 2015-04-01 |
1730516576 | Lauren Mcelwain | Social Worker | 109 Northport Ave., Apt. 4, Belfast, ME 04915 | 2013-10-10 |
1679824312 | Robert John Struba | Acupuncturist | 34 Race Street, Belfast, ME 04915 | 2012-09-20 |
1629371471 | Coastal Maine Behavioral Health Inc. | Case Management | 96 High St., A, Belfast, ME 04915 | 2010-12-17 |
1043524523 | Daniella Macleod | Counselor | 24 Sweetser Drive, Belfast, ME 04915 | 2010-07-27 |
1104060672 | Waldo County Child Development Service | Speech-Language Pathologist | 139 Northport Avenue, Belfast, ME 04915 | 2009-04-28 |
Find all providers in zip 04915 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538251590 | Vince M Labrecque | Physician Assistant | 118 Northport Ave, Belfast, ME 04915-6009 | 2006-09-28 |
1629086962 | James Ogden Williams | Physician Assistant | 118 Northport Ave, Waldo County General Hospital Emergency Room, Belfast, ME 04915-6009 | 2006-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
1073081428 | Ishah Marie Price | Physician Assistant | 30 Preble St Apt 663, Portland, ME 04101-4939 | 2018-11-04 |
1073056412 | Sara Burdick | Physician Assistant | 9 Healthcare Dr Ste 202, Biddeford, ME 04005-9450 | 2016-12-01 |
1487068565 | Andrew Cutter | Physician Assistant | 31 Annies Way, Gorham, ME 04038-2391 | 2014-06-17 |
1629337902 | Shannon N Moreau | Physician Assistant | 343 Us Route 1, York, ME 03909-1636 | 2012-05-08 |
1366769085 | David Arthur Hamel | Physician Assistant | 85 Brixham Rd, York, ME 03909-5342 | 2010-04-21 |
1164751152 | Elaine M Cadorette | Physician Assistant | 100 Foden Rd., West Building Suite 103, South Portland, ME 04106-2351 | 2009-12-22 |
1316130198 | Ronald W Kessler | Physician Assistant | 632 Brighton Ave, Portland, ME 04102-1017 | 2007-08-24 |
1932300142 | Ian Fm Buchan | Physician Assistant | Central Maine Partners In Health, 30 Belgrade Avenue, Auburn, ME 04210 | 2007-05-29 |
1316159072 | Bruce Brokaw | Physician Assistant | 400 Captain Thomas Road, Wells, ME 04090-7552 | 2007-05-04 |
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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.