LORETTA A HOTHERSALL (NPI# 1174635817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174635817 |
| Entity Type | Individual |
| Full Name | LORETTA A HOTHERSALL |
| Credential | FNP |
| Practice Address |
71 Us Route 1 Ste J Scarborough ME 04074-7168 |
| Practice Telephone | 2073966433 |
| Practice Fax Number | 2073966436 |
| Mailing Telephone | 2073966433 |
| Mailing Fax Number | 2073966436 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R033570 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 293030099 | 05 |
| Street Address |
71 US ROUTE 1 STE J |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074-7168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689619884 | Stephan P Babirak | Internal Medicine | 71 Us Route 1 Ste J, Scarborough, ME 04074-7168 | 2006-06-19 |
| 1881933950 | Paul Thomas Creedon | Nurse Practitioner | 71 Us Route 1 Ste J, Scarborough, ME 04074-7168 | 2013-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
| 1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
| 1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
| 1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
| 1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
| 1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
| 1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
| 1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
| Find all providers in zip 04074 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265887921 | Andrea Berry | Nurse Practitioner | 51 Us Route 1 Ste I, Scarborough, ME 04074-7145 | 2016-05-02 |
| 1366489429 | Alicia Greenwald | Nurse Practitioner | 51 Us Route 1 Ste H, Scarborough, ME 04074-7134 | 2006-05-31 |
| 1063996809 | Jamie Lee Theriault | Nurse Practitioner | 100 Campus Dr Unit 108, Scarborough, ME 04074-7172 | 2018-09-18 |
| 1881171106 | Bettina Irmgart Herrick | Nurse Practitioner | 100 Campus Dr Unit 108, Scarborough, ME 04074-7172 | 2018-07-20 |
| 1154847309 | Sheila O'donnell | Nurse Practitioner | 100 Campus Dr Unit 107, Scarborough, ME 04074-7172 | 2017-08-18 |
| 1104353838 | Kathryn Michaud | Nurse Practitioner | 153 Us Route 1, Scarborough, ME 04074-9052 | 2017-05-12 |
| 1720525447 | Theresa Roelke | Nurse Practitioner | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2017-01-20 |
| 1487070413 | Melissa Timberlake | Nurse Practitioner | 100 Campus Dr Unit 108, Scarborough, ME 04074-7172 | 2014-03-14 |
| 1154758589 | Angela Myra Reed | Nurse Practitioner | 100 Campus Dr Unit 108, Scarborough, ME 04074-7172 | 2013-09-30 |
| 1962757310 | Sarah J Boucher | Nurse Practitioner | 100 Campus Dr Unit 108, Scarborough, ME 04074-7172 | 2012-07-20 |
| Find all providers in SCARBOROUGH | ||||
| City | SCARBOROUGH |
| Zip Code | 04074 |
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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.