THORA HOUSE


Address: 175 West Broadway, Lincoln, ME 04457-0000
Phone: 2077946700

THORA HOUSE (NPI# 1083673966) 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) 1083673966
Entity Type Individual
Full Name THORA HOUSE
Credential FNP
Practice Address 175 West Broadway
Lincoln
ME 04457-0000
Mailing Address Po Box 99
Lincoln
ME 04457-0099
Practice Telephone 2077946700
Practice Fax Number 2077946466
Mailing Telephone 2077946700
Mailing Fax Number 2077946777
Enumeration Date 2006-03-21
Last Update Date 2013-03-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 025743 ME Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ME ANTHEM 035045 01
ME NGS 201837 01
ME 257420099 05

Office Location

Street Address 175 WEST BROADWAY
City LINCOLN
State ME
Zip Code 04457-0000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770542912 Stratton John Shannon Family Medicine 175 West Broadway, Lincoln, ME 04457-0000 2006-03-17
1811156904 Health Access Network Inc Family Medicine 175 West Broadway, Lincoln, ME 04457 2008-06-04
1568621654 Health Access Network Inc Podiatrist 175 West Broadway, Lincoln, ME 04457 2008-06-04
1093831836 Paulo R.m. Antunes Family Medicine 175 West Broadway, Lincoln, ME 04457-0000 2007-03-22
1467468215 Health Access Network, Inc Clinic/Center 175 West Broadway, Lincoln, ME 04457 2006-08-01
1487697009 Kimberly A House Social Worker 175 West Broadway, Lincoln, ME 04457-0000 2006-06-13
1750348116 Christopher John Mannari Physician Assistant 175 West Broadway, Health Access Network Inc, Lincoln, ME 04457-0099 2006-04-28
1871553024 Kevin R Olsen Physician Assistant 175 West Broadway, Lincoln, ME 04457-0000 2006-03-23
1023077286 Katherine V Page Counselor 175 West Broadway, Lincoln, ME 04457-0000 2006-03-17
1932168101 Amin M El Mallawany Obstetrics & Gynecology 175 West Broadway, Lincoln, ME 04457-0000 2006-03-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467928317 Carlos Lopez & Associates LLC Counselor 213 W. Broadway, Lincoln, ME 04457 2018-10-18
1902303142 Jennifer Harvey Speech-Language Pathologist 36 Workman Terrace Street, Lincoln, ME 04457 2018-04-12
1255714275 Jill Bouchard Registered Nurse 313 Enfield Rd, Lincoln, ME 04457 2015-07-08
1346594769 Total Renal Care Inc Clinic/Center 250 Enfield Rd, Lincoln, ME 04457 2012-11-07
1932429743 Anne Marie Osolinski Counselor 8 Fleming Street, Suite C, Lincoln, ME 04457 2010-06-03
1477886711 Lakeview Afch Inc Custodial Care Facility 10 E Broadway, Lincoln, ME 04457 2009-09-17
1326273418 Colonial Healthcare Assisted Living Facility 36 Workman Terrace, Lincoln, ME 04457 2009-05-19
1730346743 Mark B Weatherbee Od Optometrist 26 Enfield Road, Lincoln, ME 04457 2008-05-19
1396948139 Alfred H. Vandine Jr. Counselor 313 Enfield Road, Lincoln, ME 04457 2007-06-08
1902024870 Mary Catherine Goolsby Social Worker 313 Enfield Rd., Lincoln, ME 04457 2007-04-23
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538699160 Michelle Marie Hynek-thomas Nurse Practitioner 1842 Sw 38th St, Lincoln, NE 68522-9421 2017-06-15
1316488083 Amanda Levey Nurse Practitioner 2730 Paintball Way, Lincoln, ND 58504-2503 2017-03-15
1841678497 Candice Mae Fryda Nurse Practitioner 4747 Pioneers Blvd Ste 600, Lincoln, NE 68506-5332 2015-05-15
1831538131 Angela Jo Curran Nurse Practitioner 1411 Superior St, Lincoln, NE 68521 2013-06-19
1700151651 Janice Cunningham Nurse Practitioner 3640 S 6th St, Suite 6, Lincoln, NE 68502-4316 2012-03-11
1134420177 Donna Jean Lottman Nurse Practitioner 2510 Southview Cir, Lincoln, NE 68512-3667 2010-11-08
1093028805 Athena C Piper Nurse Practitioner 110 N 66th St, Lincoln, NE 68505-2402 2010-07-21
1962739656 Elizabeth K Mollard Nurse Practitioner 1500 S 48th St Ste 712, Lincoln, NE 68506-1281 2009-11-17
1699924878 Kelli K Schreiner Nurse Practitioner 1500 South 48th St, Suite 800, Lincoln, NE 68506 2008-09-12
1457515710 Christine Ruth Shkolnick Nurse Practitioner 1600 S. 48th St, Lincoln, NE 68506 2008-07-16
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Competitor

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City LINCOLN
Zip Code 04457

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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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