BLANCHE BERGEN BELLIVEAU (NPI# 1417558511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417558511 |
| Entity Type | Individual |
| Full Name | BLANCHE BERGEN BELLIVEAU |
| Credential | NP |
| Practice Address |
100 Brickhill Ave Ste 304 South Portland ME 04106-1999 |
| Practice Telephone | 2077614700 |
| Practice Fax Number | 2077614744 |
| Mailing Telephone | 2077614700 |
| Mailing Fax Number | 2077614744 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP201079 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 BRICKHILL AVE STE 304 |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106-1999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205047792 | Holly B Frost | Advanced Practice Midwife | 100 Brickhill Ave Ste 304, South Portland, ME 04106-1999 | 2007-05-25 |
| 1518519321 | Heather Jean Pollard | Social Worker | 100 Brickhill Ave Ste 304, South Portland, ME 04106 | 2019-07-11 |
| 1417515461 | K Beladi Fnp LLC | Clinic/Center | 100 Brickhill Ave Ste 304, South Portland, ME 04106-1999 | 2019-06-04 |
| 1376073163 | Kristina J Beladi | Nurse Practitioner | 100 Brickhill Ave Ste 304, South Portland, ME 04106-1999 | 2017-06-14 |
| 1972925717 | Caitlin Kadnar | Counselor | 100 Brickhill Ave Ste 304, South Portland, ME 04106-1999 | 2014-01-14 |
| 1235499476 | Alexandra Gilmore | Acupuncturist | 100 Brickhill Ave Ste 304, South Portland, ME 04106-1999 | 2012-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497840847 | Tiffany L Townsend | Nurse Practitioner | 78 Atlantic Pl, South Portland, ME 04106-2316 | 2006-10-03 |
| 1760451538 | Dana Robison | Nurse Practitioner | 1 Pine St, South Portland, ME 04106-1530 | 2006-03-15 |
| 1679543219 | Jaime Hare | Nurse Practitioner | 25 Long Creek Dr, South Portland, ME 04106-2440 | 2006-01-25 |
| 1184624397 | Lynn G. Howard | Nurse Practitioner | 100 Foden Road, West, Suite 100, South Portland, ME 04106 | 2005-07-29 |
| 1346854643 | Meaghan Hayward | Nurse Practitioner | 230 Waterman Dr, South Portland, ME 04106-3635 | 2020-09-03 |
| 1689217903 | Natalia Valentinovna Tonseth | Nurse Practitioner | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2019-10-18 |
| 1073077285 | Kathryn Stevens | Nurse Practitioner | 265 Western Ave Ste 1, South Portland, ME 04106-2415 | 2019-01-22 |
| 1518449818 | Amanda Robinson | Nurse Practitioner | 265 Western Ave, South Portland, ME 04106-2415 | 2018-09-04 |
| 1821575630 | Sarah Levy | Nurse Practitioner | 50 Foden Rd, South Portland, ME 04106-1718 | 2018-07-24 |
| 1376073163 | Kristina J Beladi | Nurse Practitioner | 100 Brickhill Ave Ste 304, South Portland, ME 04106-1999 | 2017-06-14 |
| Find all providers in SOUTH PORTLAND | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
Please comment or provide details below to improve the information on BLANCHE BERGEN BELLIVEAU.
| 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.