MS. LOIS TIEDEKEN (NPI# 1326017070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326017070 |
| Entity Type | Individual |
| Full Name | MS. LOIS TIEDEKEN |
| Credential | ANP |
| Practice Address |
84 Marginal Way Suite 800 Portland ME 04101 |
| Mailing Address |
100 Foden Rd, West Ste 203 South Portland ME 04106-2327 |
| Practice Telephone | 2077745816 |
| Practice Fax Number | 2075238595 |
| Mailing Telephone | 2078280361 |
| Mailing Fax Number | 2078741483 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2010-11-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 022855 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
84 MARGINAL WAY SUITE 800 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225009830 | Suzanne O Dater | Internal Medicine | 84 Marginal Way, Suite 800, Portland, ME 04101 | 2006-01-31 |
| 1255817490 | Kayla R. Sirard | Physician Assistant | 84 Marginal Way, Portland, ME 04101 | 2018-07-11 |
| 1104370980 | Meagan Schmersal | Nurse Practitioner | 84 Marginal Way, Suite 700, Portland, ME 04101 | 2016-08-09 |
| 1265895502 | Sean R Lena | Internal Medicine | 84 Marginal Way, Portland, ME 04101 | 2016-04-04 |
| 1720441595 | Kasey R. Little | Internal Medicine | 84 Marginal Way, Portland, ME 04101-2443 | 2016-03-30 |
| 1588040158 | Jennifer L Steffen | Nurse Practitioner | 84 Marginal Way, Suite 900, Portland, ME 04101-2443 | 2015-08-06 |
| 1487037966 | Lauren Shumeyko | Nurse Practitioner | 84 Marginal Way, Portland, ME 04101-2443 | 2015-07-02 |
| 1386026771 | Joan Kallin Newton | Nurse Practitioner | 84 Marginal Way, Suite 700, Portland, ME 04101-2443 | 2015-06-23 |
| 1336538198 | Intermed, Pa | Obstetrics & Gynecology | 84 Marginal Way, Portland, ME 04101-2443 | 2015-01-16 |
| 1285046144 | Julie B. Dark | Pediatrics | 84 Marginal Way, Portland, ME 04101-2443 | 2014-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
| 1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
| 1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
| 1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
| 1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
| Find all providers in zip 04101 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1427537844 | Mardin Sabah Sabir | Nurse Practitioner | 5050 Ne Hoyt St Ste 259, Portland, OR 97213-2984 | 2018-08-07 |
| 1174039325 | Gina Nicole Dasilva | Nurse Practitioner | 50 County Way, Portland, ME 04102-2755 | 2017-12-26 |
| 1609396746 | Maggie Michele Sexton | Nurse Practitioner | 2311 Nw Northrup St Ste 100, Portland, OR 97210-2912 | 2017-06-20 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1134585268 | Kathleen Klunk | Nurse Practitioner | 1400 Ne Alberta St, Portland, OR 97211-5044 | 2016-01-05 |
| 1427447143 | At Home Primary Care LLC. | Nurse Practitioner | 6400 Se Lake Rd # 420, Portland, OR 97222-2129 | 2015-01-19 |
| 1053753921 | Frederick Donald Watters | Nurse Practitioner | 66 Sherman St Apt 3, Portland, ME 04101 | 2013-07-22 |
| 1881033439 | Nicole M Baxter | Nurse Practitioner | 2187 Sw Main St Ste 101, Portland, OR 97205-1123 | 2013-06-17 |
| 1780937607 | Erika Kristine De La Garza | Nurse Practitioner | 1702 Hwy. 181 North, Portland, TX 78374 | 2012-10-16 |
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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.