CHRISTINA ROSE THERIAULT (NPI# 1538245097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538245097 |
| Entity Type | Individual |
| Full Name | CHRISTINA ROSE THERIAULT |
| Credential | NP |
| Practice Address |
139 Market St Fort Kent ME 04743-1410 |
| Mailing Address |
Po Box 587 Augusta ME 04332-0587 |
| Practice Telephone | 2074023220 |
| Practice Fax Number | 2078341188 |
| Mailing Telephone | 2075093271 |
| Mailing Fax Number | 2076604203 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2014-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
1538245097 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
139 MARKET ST |
| City | FORT KENT |
| State | ME |
| Zip Code | 04743-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891351391 | Grant Leishman | Dentist | 139 Market St, Fort Kent, ME 04743-1410 | 2019-05-10 |
| 1154899201 | White Smiles Family Dentistry | Clinic/Center | 139 Market St, Fort Kent, ME 04743-1410 | 2018-11-07 |
| 1972814325 | Gaston P. Pelletier | Counselor | 139 Market St, Suite 109, Fort Kent, ME 04743-1410 | 2010-06-30 |
| 1023207420 | Amy Voisine | Counselor | 139 Market St, Suite 109, Fort Kent, ME 04743-1410 | 2007-10-22 |
| 1215054804 | Cheryl J Maclean | Social Worker | 139 Market St, Suite 109, Fort Kent, ME 04743-1410 | 2007-03-26 |
| 1952447179 | Douglas D. Levesque | Social Worker | 139 Market St, Suite 109, Fort Kent, ME 04743-1410 | 2007-01-29 |
| 1568508778 | Jeannine Ayotte | Counselor | 139 Market St, Suite 101, Fort Kent, ME 04743-1410 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483874 | Megan K Pelletier | Pharmacist | Address: 182 Market St Suite 2, Fort Kent, ME 04743 | 2020-09-30 |
| 1629344171 | Sherry Marie Stedt | Massage Therapist | 590 Caribou Rd, Fort Kent, ME 04743 | 2012-03-29 |
| 1215140181 | School Administrative District 27 | Student in an Organized Health Care Education/Training Program | 84 Pleasant Street, Suite 1, Fort Kent, ME 04743 | 2007-05-08 |
| 1578785846 | M.s.a.d.#27 | Student in an Organized Health Care Education/Training Program | 108 Pleasant Street, Fort Kent, ME 04743 | 2007-05-03 |
| 1598880122 | Kristy Jo Nadeau | Social Worker | 210 Market St., Fort Kent, ME 04743 | 2007-03-20 |
| 1619066297 | Paul W Tisher | Psychiatry & Neurology | 104 East Main Street, Fort Kent, ME 04743 | 2006-10-12 |
| 1326150467 | Paul Huges Mcbreairty | Obstetrics & Gynecology | 468 St John Rd, Fort Kent, ME 04743 | 2006-08-31 |
| 1356459739 | Louis J Paradis Inc | Pharmacy | 62 West Main Street, Suite 101, Fort Kent, ME 04743 | 2006-08-27 |
| 1023024585 | Richard Raymond | Dentist | 139 Market Street, Suite 107, Fort Kent, ME 04743 | 2006-08-01 |
| 1003898677 | Lisa M. Eno | Nurse Practitioner | 197 East Main Street, Suite 101, Fort Kent, ME 04743 | 2005-11-18 |
| Find all providers in zip 04743 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659354116 | Aroostook County Action Program | Nurse Practitioner | 486 Frenchville Rd, Fort Kent, ME 04743-1722 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760739650 | Yanghee Courbron | Nurse Practitioner | 100 Brickhill Ave Ste 203, South Portland, ME 04106-1999 | 2012-08-09 |
| 1215216643 | Sarah Jane Norris | Nurse Practitioner | 29 City Point Rd, Peaks Island, ME 04108-1161 | 2011-08-16 |
| 1730485483 | Amber Lynn Berube | Nurse Practitioner | 31 Crossridge Dr, Windham, ME 04062-5568 | 2011-01-27 |
| 1982837019 | Bronwyn Elizabeth Sewell | Nurse Practitioner | 443 Congress St Fl 2, Portland, ME 04101-3531 | 2009-08-24 |
| 1164632014 | Margaret Anna Mcgalliard | Nurse Practitioner | 12 Stillwater Ave Ste 1, Bangor, ME 04401-3984 | 2007-05-22 |
| 1720106362 | Kennebec Valley Community Action Program | Nurse Practitioner | 101 Water St, Suite 204, Waterville, ME 04901-6339 | 2007-03-26 |
| 1063563310 | Bonnie L Clark | Nurse Practitioner | 5 Silver Rdg, Veazie, ME 04401-7086 | 2007-01-15 |
| 1144320300 | Jessie M. Reighley | Nurse Practitioner | 3 Marina Rd, Yarmouth, ME 04096-6783 | 2006-09-25 |
| 1497780613 | Susan E Eastler | Nurse Practitioner | 200 Livermore Falls Rd, Farmington, ME 04938-6244 | 2006-07-12 |
| 1356373005 | Priscilla Ann Perry | Nurse Practitioner | 68 Mount Hope Ave, Bangor, ME 04401-4096 | 2006-07-06 |
| Find all providers with the same taxonomy | ||||
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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.