KATHRYN WARDWELL (NPI# 1114449915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114449915 |
Entity Type | Individual |
Full Name | KATHRYN WARDWELL |
Other Name | KATHRYN MORANG |
Credential | FNP |
Practice Address |
15 Enterprise Dr Augusta ME 04330-7997 |
Mailing Address |
Po Box 569 Rangeley ME 04970-0569 |
Practice Telephone | 2076218880 |
Practice Fax Number | 2076211881 |
Mailing Telephone | 2078642699 |
Mailing Fax Number | 2078642969 |
Enumeration Date | 2017-07-13 |
Last Update Date | 2019-05-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP171079 | ME | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4 Clement Way, Belgrade, ME 049174370 | 2074953323 | 2074953353 |
Street Address |
15 ENTERPRISE DR |
City | AUGUSTA |
State | ME |
Zip Code | 04330-7997 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760458129 | William D Rogers | Orthopaedic Surgery | 15 Enterprise Dr, Ste 100, Augusta, ME 04330-7894 | 2006-02-27 |
1457995151 | Alyssa Hanson | Nurse Practitioner | 15 Enterprise Dr, Augusta, ME 04330-7997 | 2019-11-05 |
1104474642 | Michael Rodger | Orthopaedic Surgery | 15 Enterprise Dr, Augusta, ME 04330-7997 | 2019-08-28 |
1336707397 | Irina Bryant | Occupational Therapist | 15 Enterprise Dr, Augusta, ME 04330-7997 | 2019-06-04 |
1922665652 | Sarah Havener | Nurse Practitioner | 15 Enterprise Dr, Augusta, ME 04330-7997 | 2019-05-29 |
1245895879 | Samantha Guyette | Physician Assistant | 15 Enterprise Dr, Augusta, ME 04330-7997 | 2019-05-09 |
1265096663 | Rachel Hough | Physician Assistant | 15 Enterprise Dr, Augusta, ME 04330-7997 | 2019-05-01 |
1437713831 | Jessica Cysner | Physician Assistant | 15 Enterprise Dr, Augusta, ME 04330-7997 | 2019-05-01 |
1356827778 | Sandra Pelletier | Nurse Practitioner | 15 Enterprise Dr, Augusta, ME 04330-7997 | 2018-07-18 |
1861978090 | Allyson Eller | Physician Assistant | 15 Enterprise Dr, Augusta, ME 04330-7997 | 2018-07-11 |
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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 | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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---|---|---|---|---|
1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
1588262372 | Taylor Safford | Nurse Practitioner | 1348 Walton Way Ste 4100, Augusta, GA 30901-5107 | 2020-10-13 |
1831719269 | Tanaysa Green | Nurse Practitioner | 1702 Holly Hill Rd, Augusta, GA 30904-5050 | 2020-04-27 |
1699395749 | Mary Elizabeth Dalis | Nurse Practitioner | 1025 Redbird Rd, Augusta, GA 30904-3181 | 2020-04-18 |
1316585185 | Rebecca Williford | Nurse Practitioner | 1220 George C Wilson Dr, Augusta, GA 30909-4501 | 2019-12-12 |
1699322370 | Ashley Staten | Nurse Practitioner | 2739 Huntcliffe Dr, Augusta, GA 30909-0662 | 2019-08-19 |
1053978205 | Keneka V Allen | Nurse Practitioner | 6229 Key West Dr, Augusta, GA 30909-6745 | 2019-05-23 |
1487210589 | Jason Schunk | Nurse Practitioner | S7645 Morning Crest Dr, Augusta, WI 54722-7579 | 2019-05-14 |
1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
1174097190 | Yuri Kang | Nurse Practitioner | Augusta University Medical Center 1120 15th Street, Augusta, GA 30912-0359 | 2019-01-12 |
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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.