LARISA M WELCH (NPI# 1669567020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669567020 |
| Entity Type | Individual |
| Full Name | LARISA M WELCH |
| Other Name | LARISA M LEAST |
| Credential | FNP |
| Practice Address |
2 Chabot St Westbrook ME 04092 |
| Practice Telephone | 2078579311 |
| Practice Fax Number | 2078579324 |
| Mailing Telephone | 2078579311 |
| Mailing Fax Number | 2078579324 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R050944 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 431956199 | 05 |
| Street Address |
2 CHABOT ST |
| City | WESTBROOK |
| State | ME |
| Zip Code | 04092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770530404 | Elwood J Fox | Internal Medicine | 2 Chabot St, Westbrook, ME 04092-4817 | 2006-05-28 |
| 1235544032 | Jane Pelletier | Physician Assistant | 2 Chabot St, #1, Westbrook, ME 04092-4817 | 2014-07-01 |
| 1740331016 | John E Stanhope | Family Medicine | 2 Chabot St, Westbrook, ME 04092-4817 | 2007-01-15 |
| 1346304367 | Michael Warren Wood | Physician Assistant | 2 Chabot St, Westbrook, ME 04092-4817 | 2006-12-21 |
| 1801990544 | Maine Centers for Healthcare | Internal Medicine | 2 Chabot St, Westbrook, ME 04092-4817 | 2006-09-12 |
| 1134143514 | Charles S Matusovich | Nurse Practitioner | 2 Chabot St, Westbrook, ME 04092-4817 | 2006-07-27 |
| 1063443539 | Howard L. Glass | Internal Medicine | 2 Chabot St, Westbrook, ME 04092-4817 | 2006-07-05 |
| 1043241516 | Miguel A. Velazquez | Neuromusculoskeletal Medicine & OMM | 2 Chabot St, Westbrook, ME 04092-4817 | 2006-07-05 |
| 1043252364 | Geraldine L. Ollila | Family Medicine | 2 Chabot St, Westbrook, ME 04092-4817 | 2006-06-12 |
| 1538101886 | Ravi Chandrasekaran | Internal Medicine | 2 Chabot St, Westbrook, ME 04092-4817 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023529013 | Easy Life LLC | In Home Supportive Care | 77 Mechanic St, Westbrook, ME 04092 | 2017-10-17 |
| 1932644325 | Onelove Homecare, LLC | In Home Supportive Care | 24 Pike Street, Westbrook, ME 04092 | 2016-12-21 |
| 1184171613 | Conor Cannon I | Counselor | 1500 Saunders Way, 900, Westbrook, ME 04092 | 2016-09-01 |
| 1104201011 | Dana L Villmore | Physician Assistant | Intermed Onsite At Idexx, 1 Idexx Drive, Westbrook, ME 04092 | 2015-07-22 |
| 1407249147 | Allyson Bea Lowell | Social Worker | 170 Forest Street, Westbrook, ME 04092 | 2015-03-05 |
| 1477969541 | Gretchen Jefferson | Psychologist | 15 Saunders Way Woodfords Family Services, Westbrook, ME 04092 | 2014-07-09 |
| 1053725176 | Anita Aaltje Devine | Massage Therapist | 89 Lamb Street, Westbrook, ME 04092 | 2014-06-17 |
| 1124449806 | Spectrum Staffing Solutions LLC | In Home Supportive Care | 1 Westbrook Commons, Suite 1, Westbrook, ME 04092 | 2013-12-23 |
| 1760816276 | Avita Stroudwater, LLC | Alzheimer Center (Dementia Center) | 320 Spring Street, Westbrook, ME 04092 | 2013-09-03 |
| 1659637742 | Kate Beever | Music Therapist | 54 West Valentine Street, Westbrook, ME 04092 | 2012-04-03 |
| Find all providers in zip 04092 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194351445 | Frances Ladd Lewis | Nurse Practitioner | 950 Main St, Westbrook, ME 04092-3067 | 2020-03-19 |
| 1700411006 | Kristen Marie Sowada | Nurse Practitioner | 123 Andover Rd, Westbrook, ME 04092-3848 | 2020-03-06 |
| 1982257846 | Philip Washburn Browne | Nurse Practitioner | 950 Main St, Westbrook, ME 04092-3067 | 2019-07-19 |
| 1386101004 | Ashley Nicole Moody | Nurse Practitioner | 950 Main St, Westbrook, ME 04092-3067 | 2019-02-28 |
| 1093281362 | Evelyn Hayden Bunce | Nurse Practitioner | 123 Andover Rd, Westbrook, ME 04092-3850 | 2018-10-15 |
| 1033561758 | Megin Iaccarino | Nurse Practitioner | 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498-1565 | 2016-07-06 |
| 1417318742 | Mikayla Chase | Nurse Practitioner | 1 Harnois Ave, Westbrook, ME 04092-4392 | 2016-03-15 |
| 1740662832 | Caitlin Costigan | Nurse Practitioner | 1 Harnois Ave, Westbrook, ME 04092-4392 | 2015-06-24 |
| 1982093753 | Samantha Doe | Nurse Practitioner | 40 Park Rd, Westbrook, ME 04092-3188 | 2015-01-16 |
| 1265865323 | Jennifer K Deane | Nurse Practitioner | 1 Harnois Ave, 2nd Floor, Westbrook, ME 04092-4392 | 2013-08-13 |
| Find all providers in WESTBROOK | ||||
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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.