MRS. KIM MICHAUD (NPI# 1720193337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720193337 |
| Entity Type | Individual |
| Full Name | MRS. KIM MICHAUD |
| Credential | CFO |
| Practice Address |
1 Va Ctr Prosthetic Service (126p) Augusta ME 04330-6719 |
| Mailing Address |
106 Oak Grove Rd Vassalboro ME 04989-3230 |
| Practice Telephone | 2076235769 |
| Practice Fax Number | 2076235779 |
| Mailing Telephone | 2078731756 |
| Mailing Fax Number | 2076235779 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ABC CERFITICATION | CFO01953 | 01 |
| Street Address |
1 VA CTR PROSTHETIC SERVICE (126P) |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-6719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437135704 | Nancy Louise Johnson | Counselor | 1 Va Ctr, Building 206, Augusta, ME 04330-6719 | 2005-12-19 |
| 1730789710 | Monica Rachel Lee | Pharmacist | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-10-28 |
| 1336746841 | Danae E. Stuart | Nurse Practitioner | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-10-07 |
| 1699380774 | Erica Wolfe | Pharmacist | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-09-15 |
| 1790303436 | Danny Sarkis | Student in an Organized Health Care Education/Training Program | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-07-09 |
| 1518585256 | Elizabeth Sullivan | Student in an Organized Health Care Education/Training Program | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-07-09 |
| 1710504907 | Katie S Eastman | Pharmacist | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-07-03 |
| 1548885429 | Rebecca Labonte | Dietitian, Registered | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-06-16 |
| 1942824362 | Whitney C Sargent | Pharmacist | 1 Va Ctr, Augusta, ME 04330-6795 | 2020-06-01 |
| 1336785708 | Matthew Douglas Campbell | Physician Assistant | 1 Va Ctr, Augusta, ME 04330-6719 | 2019-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356450209 | Bari F Levens | Orthotic Fitter | 1303 Dantignac Street, Suite 1000, Augusta, GA 30901-2776 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730231630 | Stephen Joseph Taubner | Orthotic Fitter | 185 Ratmill Hill Road, Mount Vernon, ME 04352-3823 | 2007-01-18 |
| 1447267901 | Priscille Belanger | Orthotic Fitter | 193 Main St, Suite 101, Biddeford, ME 04005-2590 | 2006-08-01 |
| 1881633253 | Gregory Kirk Molatch | Orthotic Fitter | 185 State St, Suites C & D, Ellsworth, ME 04605-1830 | 2006-06-04 |
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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.