THERESA ROELKE


Address: 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171
Phone: 2073967760

THERESA ROELKE (NPI# 1720525447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720525447
Entity Type Individual
Full Name THERESA ROELKE
Other Name THERESA FISH
Credential NP
Practice Address 100 Campus Dr
Suite 121
Scarborough
ME 04074-7171
Mailing Address 190 Riverside St
Suite 6b
Portland
ME 04103-1073
Practice Telephone 2073967760
Practice Fax Number 2073968500
Mailing Telephone 2076612000
Enumeration Date 2017-01-20
Last Update Date 2017-04-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner CNP161163 ME Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 100 CAMPUS DR
SUITE 121
City SCARBOROUGH
State ME
Zip Code 04074-7171

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689678112 Gary M Hochheiser Thoracic Surgery (Cardiothoracic Vascular Surgery) 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 2005-06-13
1083162481 Kathlene Gravelin Genetic Counselor, MS 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 2016-09-14
1851781710 Katherine Anne Lafferty Genetic Counselor, MS 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 2015-01-30
1700276581 Amanda Lamb Genetic Counselor, MS 100 Campus Dr, Suite #121, Scarborough, ME 04074-7171 2015-01-30
1073803144 Summer D Mowry Nurse Practitioner 100 Campus Dr, Suite 108, Scarborough, ME 04074-7171 2011-04-11
1912204033 Mainehealth General Acute Care Hospital 100 Campus Dr, Unit 107, Scarborough, ME 04074 2011-02-25
1841596517 Mainehealth Internal Medicine 100 Campus Dr, Suite 110, Scarborough, ME 04074 2011-01-28
1053647024 Mainehealth General Acute Care Hospital 100 Campus Dr, Unit 103, Scarborough, ME 04074-7171 2009-10-27
1588801773 Karen Anne Phelps Nurse Practitioner 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 2009-01-10
1962668863 Jessica H Cary Genetic Counselor, MS 100 Campus Dr, Unit 108, Scarborough, ME 04074-7171 2008-07-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407462443 Jennifer Marlowe Counselor Crossroads Maine 71-us-1, Scarborough, ME 04074 2020-09-16
1508475724 Whole Medicine LLC Family Medicine 2o Mussey Road, Suite 2, Scarborough, ME 04074 2020-07-23
1154957793 Maria Robin Libby Occupational Therapist 144 Us-1 #4, Scarborough, ME 04074 2020-03-16
1558902932 Daphne Berta Counseling P.C. Counselor 636 Route 1, Scarborough, ME 04074 2019-10-07
1619450574 Louise Valati Physical Therapist Piper Shores, 15 Piper Road, Scarborough, ME 04074 2018-09-07
1770001315 Emily Dunuwila Massage Therapist 51 Us Route One Suite R2, Scarborough, ME 04074 2017-09-04
1750808788 Jill Daicey Hutchison Physical Therapy Assistant 67 Pine Point Road, Scarborough, ME 04074 2017-08-30
1457887580 Rebecca Shaw Social Worker 119 Ash Swamp Road, Scarborough, ME 04074 2017-05-10
1184168767 Jessica Ann Kaake Occupational Therapist 308 Us Route 1 Ste E1, Scarborough, ME 04074 2016-12-15
1356895056 Nancy Gaudet Counselor 6 Catherine Drive, Scarborough, ME 04074 2016-08-10
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265887921 Andrea Berry Nurse Practitioner 51 Us Route 1 Ste I, Scarborough, ME 04074-7145 2016-05-02
1366489429 Alicia Greenwald Nurse Practitioner 51 Us Route 1 Ste H, Scarborough, ME 04074-7134 2006-05-31
1063996809 Jamie Lee Theriault Nurse Practitioner 100 Campus Dr Unit 108, Scarborough, ME 04074-7172 2018-09-18
1881171106 Bettina Irmgart Herrick Nurse Practitioner 100 Campus Dr Unit 108, Scarborough, ME 04074-7172 2018-07-20
1154847309 Sheila O'donnell Nurse Practitioner 100 Campus Dr Unit 107, Scarborough, ME 04074-7172 2017-08-18
1104353838 Kathryn Michaud Nurse Practitioner 153 Us Route 1, Scarborough, ME 04074-9052 2017-05-12
1487070413 Melissa Timberlake Nurse Practitioner 100 Campus Dr Unit 108, Scarborough, ME 04074-7172 2014-03-14
1154758589 Angela Myra Reed Nurse Practitioner 100 Campus Dr Unit 108, Scarborough, ME 04074-7172 2013-09-30
1962757310 Sarah J Boucher Nurse Practitioner 100 Campus Dr Unit 108, Scarborough, ME 04074-7172 2012-07-20
1689945420 Amanda Elizabeth Magnoli Nurse Practitioner 100 Campus Dr Unit 108, Scarborough, ME 04074-7172 2012-01-25
Find all providers in SCARBOROUGH

Competitor

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City SCARBOROUGH
Zip Code 04074

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Dataset Information

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.

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