TARA JONES MOLLOY (NPI# 1689953762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689953762 |
| Entity Type | Individual |
| Full Name | TARA JONES MOLLOY |
| Credential | APRN |
| Practice Address |
655 Main St Saco ME 04072-1543 |
| Practice Telephone | 2072943111 |
| Practice Fax Number | 2072863907 |
| Mailing Telephone | 2072943111 |
| Mailing Fax Number | 2072863907 |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP111062 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
655 MAIN ST |
| City | SACO |
| State | ME |
| Zip Code | 04072-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699240226 | Cortney Elizabeth Binette | Emergency Medicine | 655 Main St, Saco, ME 04072-1699 | 2018-10-10 |
| 1124508924 | Mainehealth | Clinic/Center | 655 Main St, Saco, ME 04072-1543 | 2018-08-21 |
| 1588150783 | Ross Hanley | Physician Assistant | 655 Main St, Saco, ME 04072-1543 | 2018-07-11 |
| 1477042406 | Tricia E Garrett | Physician Assistant | 655 Main St, Saco, ME 04072-1543 | 2018-05-04 |
| 1316297690 | Nichole C Reader | Nurse Practitioner | 655 Main St, Saco, ME 04072-1543 | 2012-09-14 |
| 1255690228 | Southern Maine Health Care | Clinic/Center | 655 Main St, Saco, ME 04072-1543 | 2012-05-11 |
| 1356608368 | Korrie B Beverley-waters | Neuromusculoskeletal Medicine & OMM | 655 Main St, Saco, ME 04072 | 2012-04-15 |
| 1134310618 | Garrett B Edwards | Neuromusculoskeletal Medicine & OMM | 655 Main St, Saco, ME 04072-1543 | 2007-08-08 |
| 1336342955 | Colleen Mayo | Nurse Practitioner | 655 Main St, Saco, ME 04072-1543 | 2007-06-10 |
| 1629284344 | William Stephen Gefvert | Internal Medicine | 655 Main St, Saco, ME 04072-1543 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962043786 | Maine Safe Ride Services | Non-emergency Medical Transport (VAN) | 32 Water St, Suite 4, Saco, ME 04072 | 2019-10-02 |
| 1821656810 | Rebecca Akins | Occupational Therapist | Mainely Kidz Pt, 895 Portland Rd., Saco, ME 04072 | 2019-06-04 |
| 1376045070 | Ashley A Cardurns | Nurse Practitioner | 15 Moody St, Saco, ME 04072 | 2018-03-08 |
| 1861990103 | Morgan Dube | Specialist/Technologist | 21 Evergreen Dr, Saco, ME 04072 | 2018-01-31 |
| 1639603004 | Jodi Morris | Massage Therapist | 10 School Street 2nd Floor, Saco, ME 04072 | 2017-04-12 |
| 1073812665 | Elisabeth Geralyn Holdsworth | Specialist | 895 Portland Road, Saco, ME 04072 | 2011-03-22 |
| 1336378181 | Ah Inn Associates LLC | Assisted Living Facility | 100 Harbor Drive, Saco, ME 04072 | 2009-07-14 |
| 1326286634 | Bambi Morgan Delattre | Counselor | 655 Maine Street, Saco, ME 04072 | 2009-01-23 |
| 1215054143 | Meret Claudia Bainbridge | Acupuncturist | 35 Storer St, Saco, ME 04072 | 2007-03-24 |
| 1023104155 | Lynne M Tetreault | Pediatrics | 5 Scamman St., Saco, ME 04072 | 2006-10-05 |
| Find all providers in zip 04072 | ||||
| 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 |
|---|---|---|---|---|
| 1376045070 | Ashley A Cardurns | Nurse Practitioner | 15 Moody St, Saco, ME 04072 | 2018-03-08 |
| 1225583321 | Donna L Piccininni | Nurse Practitioner | 50 Moody St, Sweetser, Saco, ME 04072-1536 | 2016-08-18 |
| 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 |
| 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 |
| 1275972689 | Suzette Elizabeth Cyr | Nurse Practitioner | 71 U.S. Route 1, Suite A, Scarborough, ME 04074 | 2013-06-19 |
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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.