MARY LELLO (NPI# 1255410643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255410643 |
| Entity Type | Individual |
| Full Name | MARY LELLO |
| Credential | MAC, LAC |
| Practice Address |
535 Ocean Ave Portland ME 04103-4973 |
| Practice Telephone | 2077617228 |
| Mailing Telephone | 2077617228 |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | AC 166 | ME | Other Service Providers |
| Street Address |
535 OCEAN AVE |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-4973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629883 | Carol Rebecca Ward | Specialist | 535 Ocean Ave, Portland, ME 04103-4973 | 2005-06-17 |
| 1336546738 | Chelsea Fyrberg | Nutritionist | 535 Ocean Ave, Portland, ME 04103-4973 | 2014-12-01 |
| 1780097048 | Sage Wellness LLC | Massage Therapist | 535 Ocean Ave, Suite 1, Portland, ME 04103-4973 | 2014-06-04 |
| 1548687981 | Sara L Cameron | Advanced Practice Midwife | 535 Ocean Ave, Portland, ME 04103-4973 | 2014-03-24 |
| 1437594108 | Beth Matthews | Massage Therapist | 535 Ocean Ave, Portland, ME 04103-4973 | 2013-05-07 |
| 1639423106 | Devan Pearl Wojcik | Massage Therapist | 535 Ocean Ave, Suite 1, Portland, ME 04103-4973 | 2012-11-05 |
| 1396004354 | Kate E Somerville | Massage Therapist | 535 Ocean Ave, Portland, ME 04103-4973 | 2012-05-11 |
| 1629337910 | Karen Deyesso | Massage Therapist | 535 Ocean Ave, Portland, ME 04103-4973 | 2012-05-08 |
| 1760763155 | Karen L. Roberts, D.o. Professional Corporation | Neuromusculoskeletal Medicine & OMM | 535 Ocean Ave, Portland, ME 04103-4973 | 2011-08-30 |
| 1639469521 | Anne M Rainville, Md LLC | Obstetrics & Gynecology | 535 Ocean Ave, Portland, ME 04103-4973 | 2011-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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|---|---|---|---|---|
| 1215536560 | Irina A Mcgaughey | Specialist | 610 Sw Alder St Ste 920, Portland, OR 97205-3610 | 2020-10-19 |
| 1780294181 | Cynthia R Mendoza | Specialist | 2245 Se Powell Blvd, Portland, OR 97202-2143 | 2020-07-31 |
| 1679199335 | Alter Image, Inc. | Specialist | 2340 Se Gladstone St, Portland, OR 97202-2962 | 2020-06-18 |
| 1770044281 | Donnissa Smith | Specialist | 117 Se 129th Ave, Portland, OR 97233-1503 | 2019-03-27 |
| 1588191258 | Jason Moore | Specialist | 522 Ne Thompson St, Portland, OR 97212-3843 | 2017-05-12 |
| 1578097218 | Alicia N Keys | Specialist | 10480 Sw Eastridge St Apt 88, Portland, OR 97225-5047 | 2017-04-19 |
| 1942734736 | Mom By Lj | Specialist | 2906 N Willamette Blvd, Portland, OR 97217-4073 | 2017-04-18 |
| 1659811198 | Ricardo H. Medina | Specialist | 1400 Nw Irving St Apt 709, Portland, OR 97209-2260 | 2017-03-02 |
| 1730626805 | Jennifer Frank | Specialist | 1008 Se 112th Ave, Portland, OR 97216-3516 | 2017-01-26 |
| 1720523012 | Andrea Lett | Specialist | 4627 Ne 30th Ave, Portland, OR 97211-7001 | 2016-12-22 |
| Find all providers in PORTLAND | ||||
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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.