TAMMY WYMAN (NPI# 1821461393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821461393 |
| Entity Type | Individual |
| Full Name | TAMMY WYMAN |
| Credential | CMA |
| Practice Address |
30 Houlton St Patten ME 04765-0500 |
| Mailing Address |
Po Box 500 Patten ME 04765-0500 |
| Practice Telephone | 2075282285 |
| Practice Fax Number | 2075282880 |
| Mailing Telephone | 2075282285 |
| Mailing Fax Number | 2075282880 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | ME | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972061935 | Tammy J Wyman | Registered Nurse | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2019-03-08 |
| Street Address |
30 HOULTON ST |
| City | PATTEN |
| State | ME |
| Zip Code | 04765-0500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669450524 | Katahdin Valley Health Center | Clinic/Center | 30 Houlton St, Patten, ME 04765-3035 | 2006-01-02 |
| 1043793490 | Beth Anne Martin | Social Worker | 30 Houlton St, Patten, ME 04765-3035 | 2018-09-12 |
| 1467964205 | Jessica Glant | Physician Assistant | 30 Houlton St, Patten, ME 04765-3035 | 2017-11-02 |
| 1548770282 | Morgan Abdul-korah | Dentist | 30 Houlton St, Patten, ME 04765-3035 | 2017-10-09 |
| 1427596170 | Cynthia Qualey | Dental Hygienist | 30 Houlton St, Patten, ME 04765-3035 | 2017-02-02 |
| 1164979134 | Jodi Deabay | Licensed Practical Nurse | 30 Houlton St, Patten, ME 04765 | 2016-09-07 |
| 1184075582 | Nikki Brownlee | Registered Nurse | 30 Houlton St, Patten, ME 04765-3035 | 2016-06-27 |
| 1528422599 | Katahdin Valley Health Center | Pharmacy | 30 Houlton St, Patten, ME 04765 | 2016-04-06 |
| 1376907360 | Katahdin Valley Health Center | Clinic/Center | 30 Houlton St, Patten, ME 04765 | 2016-04-06 |
| 1922469378 | Tasha Dwyer | Student in an Organized Health Care Education/Training Program | 30 Houlton St, Patten, ME 04765 | 2016-03-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285043869 | Angela Anderson | Registered Nurse | 30 Houlton St., Patten, ME 04765 | 2014-08-07 |
| 1649404609 | Randall S Roberts | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 52 Gardner Street, Apt A, Patten, ME 04765 | 2009-05-06 |
| 1386878346 | Kimberly Iverne Rodriguez | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 52 Gardiner Street, Patten, ME 04765 | 2009-05-06 |
| 1528260783 | Town of Patten | Ambulance | 27 Dearborn St., Patten, ME 04765 | 2007-06-01 |
| 1700941333 | Green Valley Association | Day Training, Developmentally Disabled Services | 69 David St, Island Falls, ME 04765 | 2006-12-26 |
| 1518022151 | Green Valley Association | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Gardner Street, Patten, ME 04765 | 2006-12-26 |
| 1639230113 | Chandler Bay Group, Inc | Skilled Nursing Facility | 83 Houlton Road, Patten, ME 04765 | 2006-12-12 |
| 1811917545 | Denise M Marquis | Nurse's Aide | 30 Houlton Street, Patten, ME 04765 | 2006-07-19 |
| 1609824747 | Ronald I Blum | Specialist | 17 Founders Street, Patten, ME 04765 | 2006-05-04 |
| 1699770222 | Rose M Fuchs | Family Medicine | 17 Founders St, Patten, ME 04765 | 2005-06-20 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306381983 | Leslie Heath | Student in an Organized Health Care Education/Training Program | 529 S Patten Rd, Patten, ME 04765-3007 | 2017-01-05 |
| 1104289081 | Rebecca Cropley | Student in an Organized Health Care Education/Training Program | 30 Houlton Street, Patten, ME 04765 | 2016-03-30 |
| 1922469378 | Tasha Dwyer | Student in an Organized Health Care Education/Training Program | 30 Houlton St, Patten, ME 04765 | 2016-03-14 |
| 1306258942 | Sheridan Mccordic | Student in an Organized Health Care Education/Training Program | 30 Houlton St, Patten, ME 04765-0030 | 2014-06-02 |
| 1952712523 | Kristin Lane | Student in an Organized Health Care Education/Training Program | 30 Houlton Street, Patten, ME 04765 | 2014-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1609498948 | Callan Donovan | Student in an Organized Health Care Education/Training Program | 8 Hedgerow Dr, Falmouth, ME 04105-1407 | 2020-05-09 |
| 1588285977 | Robert Rousseau | Student in an Organized Health Care Education/Training Program | 745 W Auburn Rd, Auburn, ME 04210-8506 | 2020-04-27 |
| 1639708050 | Jeffrey Littlefield | Student in an Organized Health Care Education/Training Program | 55a Blueberry Ln, Gray, ME 04039-9734 | 2020-04-07 |
| 1174152920 | John Weare Knight | Student in an Organized Health Care Education/Training Program | 1901 Us Route 1, Cape Neddick, ME 03902-7530 | 2020-04-03 |
| 1023647898 | Jillian Mei-ling Liu | Student in an Organized Health Care Education/Training Program | 22 Bramhall St # 5323a, Portland, ME 04102-3134 | 2020-04-03 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1790313781 | Brianna Marie Philbrick | Student in an Organized Health Care Education/Training Program | 22 Bramhall St # 2b, Portland, ME 04102-3175 | 2020-03-27 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1639706997 | Julia Rosner | Student in an Organized Health Care Education/Training Program | 22 Bramhall St # P5a5323, Portland, ME 04102-3175 | 2020-03-26 |
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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.