DEIDRE P TUKEY (NPI# 1902906662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902906662 |
| Entity Type | Individual |
| Full Name | DEIDRE P TUKEY |
| Credential | MSN |
| Practice Address |
1012 Union St Bangor ME 04401 |
| Mailing Address |
Po Box 1599 Bangor ME 04402-1599 |
| Practice Telephone | 2079455247 |
| Practice Fax Number | 2079901248 |
| Mailing Telephone | 2079455247 |
| Mailing Fax Number | 2079470435 |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2010-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
AS084058 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
R024915 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 432298799 | 05 |
| Street Address |
1012 UNION ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952379596 | Tanya L Clement | Physical Therapist | 1012 Union St, Bangor, ME 04401 | 2006-03-09 |
| 1508488487 | Eben Andrew Jordan | Physician Assistant | 1012 Union St, Bangor, ME 04401-3060 | 2020-05-13 |
| 1790307940 | Gloria Reid | Nurse Practitioner | 1012 Union St, Bangor, ME 04401-3060 | 2020-05-11 |
| 1801418199 | Robbin League | Nurse Practitioner | 1012 Union St, Bangor, ME 04401-3060 | 2020-05-11 |
| 1568084093 | Amy Alice Isabelle | Nurse Practitioner | 1012 Union St, Bangor, ME 04401-3060 | 2020-05-06 |
| 1568091742 | Brittany Nicole Miller | Nurse Practitioner | 1012 Union St, Bangor, ME 04401-3060 | 2020-04-08 |
| 1902435407 | Kristy L Higgins | Dental Hygienist | 1012 Union St, Bangor, ME 04401-3060 | 2020-04-06 |
| 1316571938 | Leann Marie Hindman | Nurse Practitioner | 1012 Union St, Bangor, ME 04401-3060 | 2020-02-24 |
| 1912478926 | Porchia Waugh | Nurse Practitioner | 1012 Union St, Bangor, ME 04401-3060 | 2018-12-17 |
| 1437639150 | Elizabeth Kiser | Pharmacy Technician | 1012 Union St, Bangor, ME 04401-3060 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285795245 | Pamela S Miller | Clinical Nurse Specialist | 268 Stillwater Avenue, Acadia Hospital Corp, Bangor, ME 04401 | 2006-12-13 |
| 1730272840 | Elizabeth R Pelissier | Clinical Nurse Specialist | 1012 Union St, Bangor, ME 04401 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780779710 | Beth Leslie Schurman | Clinical Nurse Specialist | 105 Beverly Street, Portland, ME 04103 | 2006-10-04 |
| 1881780427 | Lisa Diane Love | Clinical Nurse Specialist | 146 B Harpswell Rd, Brunswick, ME 04011 | 2006-10-04 |
| 1083645873 | Kimberley Roberts | Clinical Nurse Specialist | 53 Fremont St, Machias, ME 04654-1320 | 2006-07-06 |
| 1235777921 | Kira Barber | Clinical Nurse Specialist | 67 Eustis Pkwy, Waterville, ME 04901-5173 | 2019-12-13 |
| 1881968196 | Linda S Lockhart | Clinical Nurse Specialist | 1120 Center St, Auburn, ME 04210-6528 | 2012-03-05 |
| 1972720100 | Tamsen E. Lyons | Clinical Nurse Specialist | 2 Springbrook Dr, Biddeford, ME 04005-9443 | 2007-04-19 |
| 1366523920 | Susan Mulkern | Clinical Nurse Specialist | 25a June St, Sanford, ME 04073-2642 | 2006-10-18 |
| 1629164082 | Tri-county Mental Health | Clinical Nurse Specialist | 1155 Lisbon St, Lewiston, ME 04240-5025 | 2006-10-05 |
| 1518058601 | Jo Ann Ann Palmacci | Clinical Nurse Specialist | 216 Vaughan St, Portland, ME 04102-3204 | 2006-09-27 |
| 1962512301 | Jeanne Miles Mullen | Clinical Nurse Specialist | 216 Vaughan St, Portland, ME 04102-3204 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
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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.