JESSICA FOSSETT (NPI# 1366086902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366086902 |
| Entity Type | Individual |
| Full Name | JESSICA FOSSETT |
| Credential | PMHNP |
| Practice Address |
17 Mallison Falls Rd Windham ME 04062-4135 |
| Practice Telephone | 2078937000 |
| Mailing Telephone | 2078937000 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CNP191241 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17 MALLISON FALLS RD |
| City | WINDHAM |
| State | ME |
| Zip Code | 04062-4135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548320427 | Julia Laurenson Orr | Social Worker | 17 Mallison Falls Rd, Windham, ME 04062-4101 | 2006-12-11 |
| 1790329233 | Marie A Hupper | Family Medicine | 17 Mallison Falls Rd, Windham, ME 04062-4135 | 2019-10-28 |
| 1093134694 | Hope Leblanc | Nurse Practitioner | 17 Mallison Falls Rd, Windham, ME 04062-4101 | 2014-04-10 |
| 1912046731 | Donna Lynne Zamrin | Family Medicine | 17 Mallison Falls Rd, Windham, ME 04062-4101 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396173878 | Lori A Fletcher | Occupational Therapist | 408 Gray Road, Windham Middle School, Windham, ME 04062 | 2013-10-22 |
| 1952631673 | Great Expectations | Early Intervention Provider Agency | 17 Veterans Memorial Drive, Windham, ME 04062 | 2009-12-31 |
| 1366689986 | Edgeco, LLC | Massage Therapist | 108 Tandberg Trail, Windham, ME 04062 | 2009-01-20 |
| 1245485390 | Cynthia Ann Grover | Counselor | 86 Tanenberg Trail, Smart Child and Family Services, Windham, ME 04062 | 2008-11-17 |
| 1902066277 | Edgeco LLC | Specialist | 108 Tandburg Trail, Windham, ME 04062 | 2008-06-11 |
| 1881811875 | John E. Wood | Counselor | 76 Tandberg Trl Unit 2a, Windham, ME 04062 | 2007-04-19 |
| 1184848509 | Howland W. Bickerstaff | Counselor | Danzig Counseling Services, 936 Roosevelt Trail, Windham, ME 04062 | 2007-04-13 |
| 1700953015 | Melanie P Fitzsimmons | Internal Medicine | 584 Roosevelt Trail, Windham, ME 04062 | 2006-11-29 |
| 1023109204 | Ted W Rogers | Chiropractor | 744 Roosevelt Trail, Windham Crossing Suite 205, Windham, ME 04062 | 2006-09-27 |
| 1285744367 | Cheryl L Klein | Counselor | 30 Hemon Cobb Rd, Windham, ME 04062 | 2006-08-30 |
| Find all providers in zip 04062 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540059 | Psychnp, P-llc | Nurse Practitioner | 445 Portland Rd, Buxton, ME 04093-6559 | 2020-08-30 |
| 1316550429 | Dawn Marie Callahan | Nurse Practitioner | 193 Main St Ste 14, Norway, ME 04268-5647 | 2020-08-28 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1689135162 | Laura Ruth Feaga | Nurse Practitioner | 8 Moosehead Ln Apt 111, Dover Foxcroft, ME 04426-1402 | 2019-03-27 |
| 1497211775 | Authentic Point Mental Health LLC | Nurse Practitioner | 439 Us Route 1, Kittery, ME 03904-5649 | 2019-02-12 |
| 1417430554 | Samantha Reny | Nurse Practitioner | 10 High St Ste 301, Lewiston, ME 04240-7656 | 2018-09-14 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1376045070 | Ashley A Cardurns | Nurse Practitioner | 15 Moody St, Saco, ME 04072 | 2018-03-08 |
| 1538534862 | Psychiatry Solutions, P.C. | Nurse Practitioner | 477 Congress St Fl 5, Portland, ME 04101-3457 | 2015-12-11 |
| 1235505694 | Suzanne Alexis | Nurse Practitioner | 218 Fairbanks Rd, Farmington, ME 04938-5773 | 2015-08-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JESSICA FOSSETT.
| 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.