MRS. CRYSTAL FORTIN (NPI# 1790179547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790179547 |
Entity Type | Individual |
Full Name | MRS. CRYSTAL FORTIN |
Credential | RN |
Practice Address |
15 E Chestnut St Augusta ME 04330-5736 |
Mailing Address |
23 Hemlock Ridge Rd Chelsea ME 04330-1194 |
Practice Telephone | 2074857328 |
Mailing Telephone | 2074857328 |
Enumeration Date | 2015-03-18 |
Last Update Date | 2015-03-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN56346 | ME | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013077098 | Crystal Patric Fortin | Social Worker | 5 Commerce Dr, Skowhegan, ME 04976-4823 | 2006-12-11 |
Street Address |
15 E CHESTNUT ST |
City | AUGUSTA |
State | ME |
Zip Code | 04330-5736 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356348775 | Carrie L. Bolander | Obstetrics & Gynecology | 15 E Chestnut St, Augusta, ME 04330-5736 | 2005-06-30 |
1962027334 | Salam Al-omaishi | Student in an Organized Health Care Education/Training Program | 15 E Chestnut St, Augusta, ME 04330-5736 | 2020-06-11 |
1710502182 | Kevin Connolly | Student in an Organized Health Care Education/Training Program | 15 E Chestnut St, Augusta, ME 04330-5736 | 2020-06-11 |
1215552674 | Sarah Horton | Student in an Organized Health Care Education/Training Program | 15 E Chestnut St, Augusta, ME 04330-5736 | 2020-06-11 |
1730704198 | Holly Wadman | Student in an Organized Health Care Education/Training Program | 15 E Chestnut St, Augusta, ME 04330-5736 | 2020-06-11 |
1811512288 | Caitlin Bevvino-ring | Student in an Organized Health Care Education/Training Program | 15 E Chestnut St, Augusta, ME 04330-5736 | 2020-06-11 |
1366075400 | Louise Y Langlais | Nurse Practitioner | 15 E Chestnut St, Augusta, ME 04330-5736 | 2020-02-18 |
1710546619 | Taylor Lynn Leborgne | Family Medicine | 15 E Chestnut St, Augusta, ME 04330-5736 | 2019-06-13 |
1356900823 | Andrea Loving | Student in an Organized Health Care Education/Training Program | 15 E Chestnut St, Augusta, ME 04330-5736 | 2019-06-10 |
1871152330 | Breanna Glynn | Student in an Organized Health Care Education/Training Program | 15 E Chestnut St, Augusta, ME 04330-5736 | 2019-06-10 |
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 | 163WC0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275777385 | Robin Danelle Murphey | Registered Nurse | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2009-04-21 |
1184881104 | Debbie E Stanley | Registered Nurse | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2008-05-19 |
1598935330 | Kathy Ann Sundberg | Registered Nurse | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2008-03-07 |
1770680860 | Daisy H Drayton | Registered Nurse | 1 Freedom Way, Augusta, GA 30904-6258 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750999694 | Brittney Ibbitson | Registered Nurse | 16 Page Terrace, Hinckley, ME 04944 | 2020-07-16 |
1982837399 | Rhonda B Loveitt | Registered Nurse | 27 Maple Ridge Rd, Gorham, ME 04038-2285 | 2009-09-01 |
1174767784 | Healthy Futures, Inc | Registered Nurse | 72 Main St., Suite A, Winthrop, ME 04364-1406 | 2009-04-27 |
1043247828 | Perry Chet Goldstein | Registered Nurse | 647 Us Route 1, #14149, York, ME 03909-1689 | 2006-06-27 |
1316594096 | Kraig Michael Burbine | Registered Nurse | 118 Moosehead Trl Ste 5, Newport, ME 04953-4056 | 2019-08-19 |
1881249779 | Laura Mae Bouchard | Registered Nurse | 50 Summer St, Millinocket, ME 04462-1400 | 2019-08-07 |
1639739139 | Tammy Estabrook Acker | Registered Nurse | 30 Belgrade Ave Ste A, Auburn, ME 04210-4096 | 2019-06-17 |
1386201689 | Nicole Marie Theriault | Registered Nurse | 12 Bolduc Ave, Fort Kent, ME 04743-1602 | 2019-05-22 |
1407346919 | Amber D Sloat | Registered Nurse | 529 S Patten Rd, Patten, ME 04765-3007 | 2018-05-10 |
1063918241 | Jennifer Lee Malmborg | Registered Nurse | 3 Mountainview Dr, Fort Kent, ME 04743-1614 | 2018-04-05 |
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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.