ADDIE MCKENZIE (NPI# 1215475942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215475942 |
| Entity Type | Individual |
| Full Name | ADDIE MCKENZIE |
| Credential | CPNP |
| Practice Address |
33 Mollison Way Lewiston ME 04240 |
| Mailing Address |
11 Spring Hill Rd Merrimac MA 01860-2260 |
| Practice Telephone | 2077845782 |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN72450 | ME | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 2306355 | MA | Nursing Service Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2306355 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
CNP181095 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11 Spring Hill Rd, Merrimac, MA 018602260 | 9788097244 |
| Street Address |
33 MOLLISON WAY |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114989852 | Kristie J Berube | Physician Assistant | 33 Mollison Way, Lewiston, ME 04240-5805 | 2006-04-06 |
| 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 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497848675 | Kimberly Ann Szymanski | Nurse Practitioner | 2015 Mount Hope Road, Lewiston, NY 14092 | 2006-10-02 |
| 1558324772 | Jonathan Libby | Nurse Practitioner | 100 Campus Ave Apt 203, Lewiston, ME 04240-6079 | 2006-04-10 |
| 1912488149 | Jared J Morin | Nurse Practitioner | 12 High St, Lewiston, ME 04240-7676 | 2018-08-26 |
| 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 |
| 1902006851 | Heidi Toews | Nurse Practitioner | 12 High St, Suite 301, Lewiston, ME 04240-7634 | 2007-07-19 |
| 1811016579 | Catherine Roland | Nurse Practitioner | 156 East Ave, Lewiston, ME 04240-5626 | 2007-03-27 |
| 1033184627 | Jayne C. Overholt | Nurse Practitioner | 5290 Military Rd, Suite #3, Lewiston, NY 14092-1953 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932503133 | Meryl Mccarthy | Nurse Practitioner | 417 State Street, Suite 310, Emmc - Pediatric Specialty Clinics, Bangor, ME 04401 | 2014-10-16 |
| 1063648079 | Sarah-louise Elisabeth Corson | Nurse Practitioner | 6 Pine Point Rd, Scarborough, ME 04074-9201 | 2009-06-04 |
| 1407050164 | Melissa Diana Mckenzie | Nurse Practitioner | 37 Palmer St Ste 1, Calais, ME 04619-1341 | 2007-06-14 |
| 1942403266 | Webber Hospital Association | Nurse Practitioner | 473 Alfred St, Biddeford, ME 04005-9447 | 2007-06-06 |
| 1578785101 | Jacqueline M Campbell | Nurse Practitioner | 473 Alfred Road, Biddeford, ME 04005 | 2007-05-03 |
| 1699858266 | Nathaniel Todd Lesser | Nurse Practitioner | 518 Us Route 1, Kittery, ME 03904-2500 | 2006-10-24 |
| 1053320804 | Karen Elizabeth Caines | Nurse Practitioner | 96 Falmouth St, Portland, ME 04104-9300 | 2006-08-07 |
| 1427077312 | Ronald E. Cormier | Nurse Practitioner | 55 Reynolds Road, Brooks, ME 04921-0159 | 2006-07-19 |
| 1649209982 | Joanne M Perry | Nurse Practitioner | 901 Washington Ave Ste 100, Portland, ME 04103-2842 | 2006-06-30 |
| 1932193679 | Ann B. Waitt | Nurse Practitioner | 133 Corporate Dr, Bangor, ME 04401-4312 | 2005-09-08 |
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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.