KRISTIE J BERUBE (NPI# 1114989852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114989852 |
| Entity Type | Individual |
| Full Name | KRISTIE J BERUBE |
| Credential | PA-C |
| Practice Address |
33 Mollison Way Lewiston ME 04240-5805 |
| Practice Telephone | 2077845782 |
| Practice Fax Number | 2077865756 |
| Mailing Telephone | 2077845782 |
| Mailing Fax Number | 2077865756 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-831 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
33 MOLLISON WAY |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982262325 | Logan Andrew Phelps | Pediatrics | 33 Mollison Way, Lewiston, ME 04240-5805 | 2019-05-31 |
| 1750871703 | Jennifer Kaserman Archibald | Nurse Practitioner | 33 Mollison Way, Lewiston, ME 04240-5805 | 2018-05-15 |
| 1558882415 | Michael Payne | Nurse Practitioner | 33 Mollison Way, Lewiston, ME 04240-5805 | 2017-06-30 |
| 1215475942 | Addie Mckenzie | Registered Nurse | 33 Mollison Way, Lewiston, ME 04240 | 2017-02-01 |
| 1033585344 | Astrid Rivera Rodriguez | Pediatrics | 33 Mollison Way, Lewiston, ME 04240-5805 | 2015-08-20 |
| 1356721252 | Nathan Z Hines | Physician Assistant | 33 Mollison Way, Lewiston, ME 04240-5805 | 2015-06-05 |
| 1962892406 | Katelyn Ryan | Physician Assistant | 33 Mollison Way, Lewiston, ME 04240-5805 | 2015-02-04 |
| 1376987743 | Karen L Palmer | Physician Assistant | 33 Mollison Way, Lewiston, ME 04240-5805 | 2013-04-29 |
| 1528304409 | Amanda Bowden | Nurse Practitioner | 33 Mollison Way, Lewiston, ME 04240-5805 | 2012-12-20 |
| 1689982449 | Emily Vandoren | Nurse Practitioner | 33 Mollison Way, Lewiston, ME 04240-5805 | 2010-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316509680 | Britney Matthews | Physician Assistant | 5320 Military Rd # 107b, Lewiston, NY 14092-2149 | 2019-07-07 |
| 1124527023 | Bethany Sirianni-jones | Physician Assistant | 5290 Military Road Suite # 8, Lewiston, NY 14092 | 2018-02-06 |
| 1649654187 | Danielle Laplante | Physician Assistant | 10 High St Ste 105, Lewiston, ME 04240-7640 | 2015-07-15 |
| 1669449286 | Alison June Ravis | Physician Assistant | 70 Lincoln St, Mill No. 6, Lewiston, ME 04240-7792 | 2006-03-02 |
| 1225037211 | Matthew P Bureau | Physician Assistant | 70 Lincoln Street, Mill 6, Bates Mill Dermatology, Pllc, Lewiston, ME 04240 | 2005-07-20 |
| 1184273708 | Kevin Dombey | Physician Assistant | 415 6th St, Lewiston, ID 83501-2431 | 2019-09-06 |
| 1578119335 | Chelsea Brown | Physician Assistant | 300 Main St, Lewiston, ME 04240-7027 | 2019-08-16 |
| 1689228124 | Danielle R Tourigny | Physician Assistant | 91 Campus Ave, Lewiston, ME 04240 | 2019-08-01 |
| 1316506017 | Joshua Robert Browning | Physician Assistant | 300 Main St, Lewiston, ME 04240-7027 | 2019-06-07 |
| 1245798719 | Breanne Lee Lybyer | Physician Assistant | 307 Saint Johns Way Ste 4, Lewiston, ID 83501-2435 | 2019-03-04 |
| Find all providers in LEWISTON | ||||
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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.