LISA ANN THERIAULT (NPI# 1720554611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720554611 |
| Entity Type | Individual |
| Full Name | LISA ANN THERIAULT |
| Credential | FNP |
| Practice Address |
7 Highwood St Waterville ME 04901-5739 |
| Mailing Address |
6 Chets Meadow Rd West Gardiner ME 04345-3580 |
| Practice Telephone | 2078730705 |
| Mailing Telephone | 2077243139 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP181186 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7 HIGHWOOD ST |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-5739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265429708 | Mount St. Joseph | Assisted Living Facility | 7 Highwood St, Waterville, ME 04901-5739 | 2005-09-30 |
| 1134779531 | Trinity Health of New England Provider Network Organization Inc | Internal Medicine | 7 Highwood St, Waterville, ME 04901-5739 | 2019-09-17 |
| 1285104307 | Crystal Rae | Physical Therapy Assistant | 7 Highwood St, Waterville, ME 04901-5739 | 2018-12-01 |
| 1194225292 | Pro-elder Consulting LLC | Nurse Practitioner | 7 Highwood St, Waterville, ME 04901-5739 | 2018-02-15 |
| 1629488234 | Maureen Martin | Occupational Therapist | 7 Highwood St, Waterville, ME 04901-5739 | 2014-05-05 |
| 1467725382 | Michelle Andrews | Occupational Therapy Assistant | 7 Highwood St, Waterville, ME 04901-5739 | 2012-02-23 |
| 1659530228 | Christina Dee Gurney | Physical Therapist | 7 Highwood St, Waterville, ME 04901-5739 | 2008-06-08 |
| 1487837175 | Louise Roy Collins | Physical Therapy Assistant | 7 Highwood St, Mt St Joseph, Waterville, ME 04901 | 2007-12-17 |
| 1447431002 | Gayle Wendy Workman | Physical Therapy Assistant | 7 Highwood St, Waterville, ME 04901 | 2007-11-23 |
| 1467649301 | Phyllis Capanna | Occupational Therapist | 7 Highwood St, Waterville, ME 04901-5739 | 2007-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
| Find all providers in zip 04901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093367278 | Tricia Rae Yates | Nurse Practitioner | 140 S River Rd, Waterville, OH 43566-1467 | 2019-07-09 |
| 1891281432 | Alyssa Virginia Johnston | Nurse Practitioner | 5818 Max Dr, Waterville, OH 43566-9401 | 2018-07-06 |
| 1417451287 | Sarah Ashley Lacey | Nurse Practitioner | 244 Kennedy Memorial Dr Ste 201, Waterville, ME 04901-4538 | 2018-03-19 |
| 1376872606 | Tammy L Gannaway | Nurse Practitioner | 70 First Rangeway, Waterville, ME 04901 | 2009-12-16 |
| 1619151628 | Dana Merrill Law-ham | Nurse Practitioner | 180 Kennedy Memorial Dr Ste 304, Waterville, ME 04901-4548 | 2007-12-27 |
| 1356318588 | Donna Marie Sonner | Nurse Practitioner | 180 Kennedy Memorial Dr Ste 301, Waterville, ME 04901-4541 | 2006-03-07 |
| 1134121114 | Donna Bilodeau | Nurse Practitioner | 13 Railroad Sq, Kennebec Family Practice, Waterville, ME 04901-6139 | 2005-08-10 |
| 1245845361 | Aurora Healthcare | Nurse Practitioner | 32 College Ave Ste 102, Waterville, ME 04901-6100 | 2020-09-15 |
| 1962028878 | Kari Marie Frost | Nurse Practitioner | 174 Kennedy Memorial Dr, Waterville, ME 04901-5134 | 2020-06-17 |
| 1588289961 | Kellee Gorgone | Nurse Practitioner | 149 North St, Waterville, ME 04901-4974 | 2020-06-11 |
| Find all providers in WATERVILLE | ||||
| City | WATERVILLE |
| Zip Code | 04901 |
Please comment or provide details below to improve the information on LISA ANN THERIAULT.
| 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.