MS. HEATHER ANN LIVINGSTON LAVALLEE


Address: 100 Foden Road, West Building Suite 103, South Portland, ME 04106-2351
Phone: 2078281122

MS. HEATHER ANN LIVINGSTON LAVALLEE (NPI# 1841569720) 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) 1841569720
Entity Type Individual
Full Name MS. HEATHER ANN LIVINGSTON LAVALLEE
Credential FNP
Practice Address 100 Foden Road
West Building Suite 103
South Portland
ME 04106-2351
Practice Telephone 2078281122
Practice Fax Number 2078280188
Mailing Telephone 2078281122
Mailing Fax Number 2078280188
Enumeration Date 2011-12-21
Last Update Date 2015-11-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
CNP111096 ME Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 100 FODEN ROAD
WEST BUILDING SUITE 103
City SOUTH PORTLAND
State ME
Zip Code 04106-2351

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811931876 Stephen R Gorman Internal Medicine 100 Foden Road, West Building Suite 103, South Portland, ME 04106 2006-06-16
1861911661 Julie Emma Taricska Physician Assistant 100 Foden Road, West Building, Suite 103, South Portland, ME 04106 2017-09-12
1649430893 Jennifer M Palminteri Internal Medicine 100 Foden Road, Suite 103, South Portland, ME 04106-2351 2008-06-11
1467520304 David B Seder Internal Medicine 100 Foden Road, West Building Suite 103, South Portland, ME 04106 2006-11-30
1437255247 Chest Medicine Associates, Pa Internal Medicine 100 Foden Road, West Building Suite 103, South Portland, ME 04106-2351 2006-09-16
1043313356 Jonathan B Zuckerman Internal Medicine 100 Foden Road, West Building Suite 103, South Portland, ME 04106 2006-09-06
1316040538 M. Elizabeth Knauft Internal Medicine 100 Foden Road, West Building Suite 103, South Portland, ME 04106 2006-09-06
1598868747 Jason A Yahwak Internal Medicine 100 Foden Road, West Building Suite 103, South Portland, ME 04106 2006-09-06
1720190044 Thomas E Van Der Kloot Internal Medicine 100 Foden Road, West Building Suite 103, South Portland, ME 04106 2006-08-31
1134231418 Stephen A Mette Internal Medicine 100 Foden Road, West Building Suite 103, South Portland, ME 04106 2006-08-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912513748 Rayna Louise Sage Behavior Technician 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 2020-09-17
1972127330 Scott M Davis Md LLC Internal Medicine 89 Cannon Road, South Portland, ME 04106 2020-06-02
1568013936 Clara Cassidy Behavior Technician 50 Donald Bean Dr, Ste B, South Portland, ME 04106 2019-09-26
1336614346 Kari Whitney Nurse Practitioner Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 2018-10-05
1588152193 Kristen F. Pierce Counselor 100 Waterman Drive, Suite 201, South Portland, ME 04106 2018-04-30
1649779224 Jennifer Rene Johnson Social Worker 135 Westbrook St, South Portland, ME 04106 2018-02-08
1154847721 Integral Nutrition, LLC Dietitian, Registered 59 Baltimore Avenue, South Portland, ME 04106 2017-08-16
1730619610 John Preston Powell Psychiatry & Neurology 68 B Street Apt 4, South Portland, ME 04106 2017-06-14
1649706268 Gisselle Mani Student in an Organized Health Care Education/Training Program 30 Lydia Ln Apt 2115, South Portland, ME 04106 2017-05-02
1245786987 Jonathan Frank Olmes Optometrist 335 Maine Mall Rd., South Portland, ME 04106 2016-09-01
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497840847 Tiffany L Townsend Nurse Practitioner 78 Atlantic Pl, South Portland, ME 04106-2316 2006-10-03
1760451538 Dana Robison Nurse Practitioner 1 Pine St, South Portland, ME 04106-1530 2006-03-15
1679543219 Jaime Hare Nurse Practitioner 25 Long Creek Dr, South Portland, ME 04106-2440 2006-01-25
1184624397 Lynn G. Howard Nurse Practitioner 100 Foden Road, West, Suite 100, South Portland, ME 04106 2005-07-29
1417558511 Blanche Bergen Belliveau Nurse Practitioner 100 Brickhill Ave Ste 304, South Portland, ME 04106-1999 2020-11-04
1346854643 Meaghan Hayward Nurse Practitioner 230 Waterman Dr, South Portland, ME 04106-3635 2020-09-03
1689217903 Natalia Valentinovna Tonseth Nurse Practitioner 100 Brickhill Ave, South Portland, ME 04106-1999 2019-10-18
1073077285 Kathryn Stevens Nurse Practitioner 265 Western Ave Ste 1, South Portland, ME 04106-2415 2019-01-22
1518449818 Amanda Robinson Nurse Practitioner 265 Western Ave, South Portland, ME 04106-2415 2018-09-04
1821575630 Sarah Levy Nurse Practitioner 50 Foden Rd, South Portland, ME 04106-1718 2018-07-24
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Competitor

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City SOUTH PORTLAND
Zip Code 04106

Improve Information

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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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