SAMANTHA PHYLLIS PARADIS (NPI# 1356903082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356903082 |
| Entity Type | Individual |
| Full Name | SAMANTHA PHYLLIS PARADIS |
| Practice Address |
23 High St Fort Fairfield ME 04742-1021 |
| Mailing Address |
931 Union St Bangor ME 04401-3011 |
| Practice Telephone | 2077684753 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP191086 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
23 HIGH ST |
| City | FORT FAIRFIELD |
| State | ME |
| Zip Code | 04742-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931859 | Judith Marie Pimental | Nurse Practitioner | 23 High St, Fort Fairfield, ME 04742-1021 | 2020-01-20 |
| 1720574338 | Pamela Lynn Willette | Registered Nurse | 23 High St, Fort Fairfield, ME 04742-1021 | 2018-07-06 |
| 1285177824 | Christine Marie O'meara | Registered Nurse | 23 High St, Fort Fairfield, ME 04742-1021 | 2016-11-30 |
| 1376992768 | Kristi Fecteau | Nurse Practitioner | 23 High St, Fort Fairfield, ME 04742-1021 | 2016-06-07 |
| 1154761823 | Christie Lynn Wolf | Nurse Practitioner | 23 High St, Fort Fairfield, ME 04742-1021 | 2013-06-26 |
| 1508092305 | Brian A Adrian | Family Medicine | 23 High St, Fort Fairfield, ME 04742-1021 | 2009-06-08 |
| 1043485634 | Danhong Zhao | Psychiatry & Neurology | 23 High St, Fort Fairfield, ME 04742-1021 | 2008-04-24 |
| 1992873871 | Robley H Morrison | Psychologist | 23 High St, Fort Fairfield, ME 04742-1021 | 2006-12-01 |
| 1295829570 | Marian Bouchard | Social Worker | 23 High St, Fort Fairfield, ME 04742-1021 | 2006-10-03 |
| 1487674107 | Tresa Jo Morgan | Family Medicine | 23 High St, Fort Fairfield, ME 04742-1021 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821612664 | Clement Spencer | Counselor | 274 Main St, Fort Fairfield, ME 04742 | 2020-06-06 |
| 1699188748 | Merry Bragg | Social Worker | 8 Wesleyan St, Fort Fairfield, ME 04742 | 2014-06-06 |
| 1710921945 | Palwinder Kaur-panesar | Dentist | 206 Main St, Ft Fairfield, ME 04742 | 2006-06-16 |
| 1689905283 | Ivan L Shapiro | Surgery | 101 Presque Isle Rd., Fort Fairfield, ME 04742-0325 | 2010-01-21 |
| 1750695797 | Michelle Rochester | Speech-Language Pathologist | 76 Brunswick Ave, Fort Fairfield, ME 04742-1110 | 2010-08-02 |
| 1073727848 | Dr. Panesar | Clinic/Center | 207 Main St, Fort Fairfield, ME 04742-1120 | 2007-05-10 |
| 1346679503 | White Smiles Family Dentistry | Dentist | 206 Main St, Fort Fairfield, ME 04742-1121 | 2013-11-07 |
| 1376821371 | Michael John Blandon | Dentist | 206 Main St, Fort Fairfield, ME 04742-1121 | 2011-07-26 |
| 1760701312 | Joseph White | Dentist | 206 Main St, Fort Fairfield, ME 04742-1121 | 2010-05-21 |
| 1174671150 | Acadia Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 274 Main St, Fort Fairfield, ME 04742-1121 | 2007-01-08 |
| Find all providers in zip 04742 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931859 | Judith Marie Pimental | Nurse Practitioner | 23 High St, Fort Fairfield, ME 04742-1021 | 2020-01-20 |
| 1376992768 | Kristi Fecteau | Nurse Practitioner | 23 High St, Fort Fairfield, ME 04742-1021 | 2016-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788852 | Kimberly Harvell | Nurse Practitioner | 37 Palmer Ln, Ste 3, Calais, ME 04619-1341 | 2020-10-20 |
| 1013515790 | Jana H Christman | Nurse Practitioner | 81 Medical Center Dr Ste 2150, Brunswick, ME 04011-2764 | 2020-10-14 |
| 1114539400 | Granite Hill Family Medicine LLC | Nurse Practitioner | 89 Water St, Hallowell, ME 04347-1477 | 2020-08-19 |
| 1073139465 | Jaclyn Kimberly Foraker | Nurse Practitioner | 885 Union St Ste 215, Bangor, ME 04401-3092 | 2020-06-22 |
| 1962023630 | Amy E Rousseau | Nurse Practitioner | 96 Campus Ave Ste 214, Lewiston Me, ME 04240-6019 | 2020-05-04 |
| 1952921488 | Amanda Rose Robbio | Nurse Practitioner | 244 Lakewood Rd, Skowhegan, ME 04950 | 2020-04-24 |
| 1114566650 | Sadie Garnache-poirier | Nurse Practitioner | 65 W Commercial St Ste 107, Portland, ME 04101-4789 | 2020-01-02 |
| 1902441629 | Jennifer Marie Colpitts | Nurse Practitioner | 1600 Congress St Ste B, Portland, ME 04102-2148 | 2019-11-18 |
| 1710529680 | Natasha Lynn Williamson | Nurse Practitioner | 63 Hurricane Rd, Gorham, ME 04038-2414 | 2019-10-11 |
| 1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
| Find all providers with the same taxonomy | ||||
| City | FORT FAIRFIELD |
| Zip Code | 04742 |
Please comment or provide details below to improve the information on SAMANTHA PHYLLIS PARADIS.
| 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.