LISA NIELSEN (NPI# 1598706970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598706970 |
| Entity Type | Individual |
| Full Name | LISA NIELSEN |
| Credential | M.D. |
| Practice Address |
1300 Crystal Rd Island Falls ME 04747-4369 |
| Mailing Address |
Po Box 500 Patten ME 04765-0500 |
| Practice Telephone | 2074633600 |
| Practice Fax Number | 2074633603 |
| Mailing Telephone | 2075282285 |
| Mailing Fax Number | 2075282880 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2016-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 013731 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | HARVARD PILGRAM | F77297 | 01 |
| ME | ANTHEM STAR # | 048673 | 01 |
| ME | CIGNA | 5236796 | 01 |
| ME | AETNA GROUP | 144828 | 01 |
| ME | 298050099 | 05 | |
| ME | NHIC GROUP PTAN | 203814 | 01 |
| ME | RR MEDICARE | P00301812 | 01 |
| ME | FEDERAL W/C GROUP | 119411700 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952828329 | Lisa Nielsen | Early Intervention Provider Agency | 2112 Maiden Lane Sw, Roanoke, VA 24015 | 2017-08-27 |
| 1982688669 | Lisa K Nielsen | Physician Assistant | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2005-12-06 |
| 1295100469 | Lisa Kay Nielsen | Speech-Language Pathologist | 130 E 9th St, Fremont, NE 68025-4101 | 2015-12-14 |
| 1508133703 | Lisa Nielsen | Pharmacist | 2281 E Arapahoe Rd, Centennial, CO 80122-1505 | 2011-11-16 |
| 1295863793 | Lisa Sanchez Nielsen | Speech-Language Pathologist | 505 S Main St, Suite 249, Las Cruces, NM 88001-1206 | 2007-02-28 |
| Street Address |
1300 CRYSTAL RD |
| City | ISLAND FALLS |
| State | ME |
| Zip Code | 04747-4369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295013365 | Nicki J Larrabee | Nurse Practitioner | 1300 Crystal Rd, Island Falls, ME 04747-4369 | 2011-07-23 |
| 1932431871 | Sharon R Walker | Registered Nurse | 1300 Crystal Rd, Island Falls, ME 04747-0013 | 2010-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982957544 | Nancy L Williams | Speech-Language Pathologist | 922 Dyerbrook Rd, Southern Aroostook Community School Rsu 50, Dyerbrook, ME 04747 | 2012-10-19 |
| 1457421307 | Katahdin Valley Health Center | Clinic/Center | 1300 Crystal Road, Island Falls, ME 04747 | 2006-11-08 |
| 1477577039 | Town of Island Falls | Ambulance | 61 Houlton Street, Island Falls, ME 04747 | 2006-07-27 |
| 1407904956 | Green Valley Association | Community/Behavioral Health | 69 David Street, Island Falls, ME 04747-0127 | 2007-01-08 |
| 1144378795 | Green Valley Association | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Sewall Street, Island Falls, ME 04747-0127 | 2007-01-08 |
| 1306994892 | Green Valley Association | Day Training, Developmentally Disabled Services | 69 David St, Island Falls, ME 04747-0127 | 2007-01-08 |
| 1598994972 | Martha M Coursey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 867 Sherman St, Island Falls, ME 04747-4413 | 2009-07-07 |
| 1083040703 | Grace L. Grant | Counselor | 66 Sherman St, Island Falls, ME 04747-4415 | 2013-09-26 |
| 1326257742 | Southern Aroostook Community School District # 9 | Local Education Agency (LEA) | 922 Dyer Brook Rd, Dyer Brook, ME 04747-5028 | 2007-05-22 |
| 1730614488 | Katahdin Valley Health Center | Clinic/Center | 922 Dyer Brook Rd, Dyer Brook, ME 04747-5028 | 2017-05-01 |
| Find all providers in zip 04747 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887025 | Down East Community Hospital | Family Medicine | 1039 Main St, East Machias, ME 04630 | 2020-10-08 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1649889874 | Kateri Jeffery | Family Medicine | 12 Shuman Ave Ste 3, Augusta, ME 04330-6020 | 2020-07-23 |
| 1063064285 | Victoria A Deane | Family Medicine | 37 Fall Brook St, Portland, ME 04103-4224 | 2019-07-09 |
| 1265961148 | Full Circle America LLC | Family Medicine | 73 Cedar Ln, Nobleboro, ME 04555-8664 | 2017-06-05 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1730541749 | Benjamin Slocum | Family Medicine | 126 Shaker Rd, Gray, ME 04039-9629 | 2016-03-28 |
| 1295129393 | Oren Gersten | Family Medicine | 27 Ocean St Ste 3, South Portland, ME 04106-2854 | 2015-03-26 |
| 1205240678 | Martha Gilman | Family Medicine | 66 Leighton Rd Ste 2, Falmouth, ME 04105-2225 | 2014-06-13 |
| 1568875565 | Thomas Albert | Family Medicine | 300 Professional Dr Ste 2c, Scarborough, ME 04074-8897 | 2014-06-06 |
| Find all providers with the same taxonomy | ||||
| City | ISLAND FALLS |
| Zip Code | 04747 |
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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.