JODI DEABAY (NPI# 1164979134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164979134 |
| Entity Type | Individual |
| Full Name | JODI DEABAY |
| Other Name | JODI CORNEIL |
| Credential | LPN |
| Practice Address |
30 Houlton St Patten ME 04765 |
| Mailing Address |
1320 Oxbow Rd Oxbow ME 04764-3112 |
| Practice Telephone | 2075387587 |
| Mailing Telephone | 2075387587 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN11334 | ME | Nursing Service Providers |
| Street Address |
30 HOULTON ST |
| City | PATTEN |
| State | ME |
| Zip Code | 04765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669450524 | Katahdin Valley Health Center | Clinic/Center | 30 Houlton St, Patten, ME 04765-3035 | 2006-01-02 |
| 1043793490 | Beth Anne Martin | Social Worker | 30 Houlton St, Patten, ME 04765-3035 | 2018-09-12 |
| 1467964205 | Jessica Glant | Physician Assistant | 30 Houlton St, Patten, ME 04765-3035 | 2017-11-02 |
| 1548770282 | Morgan Abdul-korah | Dentist | 30 Houlton St, Patten, ME 04765-3035 | 2017-10-09 |
| 1427596170 | Cynthia Qualey | Dental Hygienist | 30 Houlton St, Patten, ME 04765-3035 | 2017-02-02 |
| 1184075582 | Nikki Brownlee | Registered Nurse | 30 Houlton St, Patten, ME 04765-3035 | 2016-06-27 |
| 1528422599 | Katahdin Valley Health Center | Pharmacy | 30 Houlton St, Patten, ME 04765 | 2016-04-06 |
| 1376907360 | Katahdin Valley Health Center | Clinic/Center | 30 Houlton St, Patten, ME 04765 | 2016-04-06 |
| 1922469378 | Tasha Dwyer | Student in an Organized Health Care Education/Training Program | 30 Houlton St, Patten, ME 04765 | 2016-03-14 |
| 1821461393 | Tammy Wyman | Student in an Organized Health Care Education/Training Program | 30 Houlton St, Patten, ME 04765-0500 | 2015-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285043869 | Angela Anderson | Registered Nurse | 30 Houlton St., Patten, ME 04765 | 2014-08-07 |
| 1649404609 | Randall S Roberts | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 52 Gardner Street, Apt A, Patten, ME 04765 | 2009-05-06 |
| 1386878346 | Kimberly Iverne Rodriguez | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 52 Gardiner Street, Patten, ME 04765 | 2009-05-06 |
| 1528260783 | Town of Patten | Ambulance | 27 Dearborn St., Patten, ME 04765 | 2007-06-01 |
| 1700941333 | Green Valley Association | Day Training, Developmentally Disabled Services | 69 David St, Island Falls, ME 04765 | 2006-12-26 |
| 1518022151 | Green Valley Association | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Gardner Street, Patten, ME 04765 | 2006-12-26 |
| 1639230113 | Chandler Bay Group, Inc | Skilled Nursing Facility | 83 Houlton Road, Patten, ME 04765 | 2006-12-12 |
| 1811917545 | Denise M Marquis | Nurse's Aide | 30 Houlton Street, Patten, ME 04765 | 2006-07-19 |
| 1609824747 | Ronald I Blum | Specialist | 17 Founders Street, Patten, ME 04765 | 2006-05-04 |
| 1699770222 | Rose M Fuchs | Family Medicine | 17 Founders St, Patten, ME 04765 | 2005-06-20 |
| Find all providers in zip 04765 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356616833 | Carrie A. Cosman | Licensed Practical Nurse | 30 Houlton St, Patten, ME 04765-0500 | 2012-03-15 |
| 1962738633 | Gail M Miller | Licensed Practical Nurse | 30 Houlton Rd, Patten, ME 04765 | 2009-10-30 |
| 1053647727 | Anita K Tidd | Licensed Practical Nurse | 30 Houlton Rd, Patten, ME 04765-0500 | 2009-10-30 |
| 1225271067 | Wendy L Jewell | Licensed Practical Nurse | 30 Houlton Street, Patten, ME 04765 | 2009-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699249888 | Bryan English | Licensed Practical Nurse | 121 Old Pine Hill Rd N, Berwick, ME 03901-2914 | 2019-01-22 |
| 1922582709 | Bryan Hunter | Licensed Practical Nurse | 180 Main Rd # Me04414, Brownville, ME 04414-3107 | 2018-09-18 |
| 1215380738 | Elizabeth Leung | Licensed Practical Nurse | 1310 China Rd, Winslow, ME 04901-0029 | 2016-07-20 |
| 1336546027 | Ronald Rochette | Licensed Practical Nurse | 163 Route 3, Apt 13, South China, ME 04358-5041 | 2014-11-25 |
| 1104028281 | Susan C Hoovler | Licensed Practical Nurse | 242 Brunswick St., Penobscot Community Health Center, Old Town, ME 04468 | 2007-06-01 |
| 1548201270 | Mary C Labun | Licensed Practical Nurse | 180 Aroostook Ave, Millinocket, ME 04462-1338 | 2006-06-10 |
| 1447859749 | Connie L Demons | Licensed Practical Nurse | 180 Main Rd, Brownville, ME 04414-3107 | 2020-10-19 |
| 1629500780 | Donna Franklin | Licensed Practical Nurse | 400 Western Ave, South Portland, ME 04106-1704 | 2017-03-29 |
| 1942682588 | Nancy Hart | Licensed Practical Nurse | 27 Park Ave, Newport, ME 04953-3215 | 2015-06-19 |
| 1306232681 | Janis Coachman | Licensed Practical Nurse | 1 Va Ctr, Augusta, ME 04330-6719 | 2015-04-13 |
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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.