MEREDITH A MYERS (NPI# 1316080146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316080146 |
Entity Type | Individual |
Full Name | MEREDITH A MYERS |
Other Name | MEREDITH A NORRIS |
Credential | PNP |
Practice Address |
3 Shape Dr Kennebunk ME 04043-6601 |
Mailing Address |
1 Medical Center Dr Po Box 626 Biddeford ME 04005-9422 |
Practice Telephone | 2074678930 |
Practice Fax Number | 2079858459 |
Mailing Telephone | 2072829080 |
Mailing Fax Number | 2079858459 |
Enumeration Date | 2007-02-14 |
Last Update Date | 2019-03-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | CNP81663 | ME | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
CNP81663 | ME | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R041189 | ME | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | 30346785 | 05 | |
ME | 432994999 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760870950 | Meredith Myers | Counselor | 3445 S Main St, Coventry Township, OH 44319-3028 | 2014-12-23 |
Street Address |
3 SHAPE DR |
City | KENNEBUNK |
State | ME |
Zip Code | 04043-6601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336101104 | Donald R Burgess | Pediatrics | 3 Shape Dr, Kennebunk, ME 04043-6601 | 2006-04-05 |
1487062089 | Miriam Brown Stevens | Social Worker | 3 Shape Dr, Kennebunk, ME 04043-6601 | 2014-07-27 |
1245512342 | Jennifer Lea Liguori | Social Worker | 3 Shape Dr, Kennebunk, ME 04043-6601 | 2011-09-14 |
1053512178 | Harriet Sanclemente | Nurse Practitioner | 3 Shape Dr, Kennebunk, ME 04043-6601 | 2007-05-29 |
1083649610 | Sarah E Babine | Psychiatry & Neurology | 3 Shape Dr, Kennebunk, ME 04043-6601 | 2006-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295397032 | Savida Agency, Inc. | Psychiatry & Neurology | 21a Western Ave, Suite 1, Kennebunk, ME 04043 | 2019-07-02 |
1578018610 | Christine Fecko | Social Worker | 14 Summer Street, Kennebunk, ME 04043 | 2016-08-18 |
1861841785 | Sarah Pollack | Pharmacist | 18 Blue Wave Professional Center, Kennebunk, ME 04043 | 2016-06-10 |
1417305566 | You&me Psychological and Consultation Services (ypcs) | Psychologist | Room 201, 8-7, Yanghwaro 12gil, Mapo-gu, Seoul, KOREA 04043 | 2016-05-31 |
1679933972 | Kimberly Kasten | Physician Assistant | 2 Livewell Drive, South Tower, Suite 200, Kennebunk, ME 04043 | 2016-02-29 |
1033592837 | Rachel Lawson Orr | Clinical Neuropsychologist | Southern Maine Health Care Pediatrics, 3 Shape Drive, Kennebunk, ME 04043 | 2015-06-30 |
1447649280 | Mark Ouellette | Nurse Practitioner | 2 Livewell Drive - North Tower, Kennebunk, ME 04043 | 2015-01-16 |
1902155005 | Kristina Caron Occupational Therapy, LLC | Occupational Therapist | 27 Fletcher St Apt 2, Kennebunk, ME 04043 | 2012-09-05 |
1174838361 | Tracy Lynn Mason | Occupational Therapist | 87 Fletcher St., Maine Regional School Unit 21, Kennebunk, ME 04043 | 2010-08-11 |
1538392261 | Susanne Randall | In Home Supportive Care | 3 Elannas Way, Kennebunk, ME 04043 | 2009-08-28 |
Find all providers in zip 04043 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053512178 | Harriet Sanclemente | Nurse Practitioner | 3 Shape Dr, Kennebunk, ME 04043-6601 | 2007-05-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932503133 | Meryl Mccarthy | Nurse Practitioner | 417 State Street, Suite 310, Emmc - Pediatric Specialty Clinics, Bangor, ME 04401 | 2014-10-16 |
1063648079 | Sarah-louise Elisabeth Corson | Nurse Practitioner | 6 Pine Point Rd, Scarborough, ME 04074-9201 | 2009-06-04 |
1407050164 | Melissa Diana Mckenzie | Nurse Practitioner | 37 Palmer St Ste 1, Calais, ME 04619-1341 | 2007-06-14 |
1942403266 | Webber Hospital Association | Nurse Practitioner | 473 Alfred St, Biddeford, ME 04005-9447 | 2007-06-06 |
1578785101 | Jacqueline M Campbell | Nurse Practitioner | 473 Alfred Road, Biddeford, ME 04005 | 2007-05-03 |
1699858266 | Nathaniel Todd Lesser | Nurse Practitioner | 518 Us Route 1, Kittery, ME 03904-2500 | 2006-10-24 |
1053320804 | Karen Elizabeth Caines | Nurse Practitioner | 96 Falmouth St, Portland, ME 04104-9300 | 2006-08-07 |
1427077312 | Ronald E. Cormier | Nurse Practitioner | 55 Reynolds Road, Brooks, ME 04921-0159 | 2006-07-19 |
1649209982 | Joanne M Perry | Nurse Practitioner | 901 Washington Ave Ste 100, Portland, ME 04103-2842 | 2006-06-30 |
1558324772 | Jonathan Libby | Nurse Practitioner | 100 Campus Ave Apt 203, Lewiston, ME 04240-6079 | 2006-04-10 |
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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.