SAMARA NICOLE SHIROMANI (NPI# 1245662642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245662642 |
| Entity Type | Individual |
| Full Name | SAMARA NICOLE SHIROMANI |
| Credential | NP |
| Practice Address |
1012 Union St Bangor ME 04401-3060 |
| Mailing Address |
Po Box 1599 Penobscot Community Health Center Bangor ME 04402-1599 |
| Practice Telephone | 2079455247 |
| Mailing Telephone | 2079455247 |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2014-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP141107 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2276804 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1012 UNION ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952379596 | Tanya L Clement | Physical Therapist | 1012 Union St, Bangor, ME 04401 | 2006-03-09 |
| 1508488487 | Eben Andrew Jordan | Physician Assistant | 1012 Union St, Bangor, ME 04401-3060 | 2020-05-13 |
| 1790307940 | Gloria Reid | Nurse Practitioner | 1012 Union St, Bangor, ME 04401-3060 | 2020-05-11 |
| 1801418199 | Robbin League | Nurse Practitioner | 1012 Union St, Bangor, ME 04401-3060 | 2020-05-11 |
| 1568084093 | Amy Alice Isabelle | Nurse Practitioner | 1012 Union St, Bangor, ME 04401-3060 | 2020-05-06 |
| 1568091742 | Brittany Nicole Miller | Nurse Practitioner | 1012 Union St, Bangor, ME 04401-3060 | 2020-04-08 |
| 1902435407 | Kristy L Higgins | Dental Hygienist | 1012 Union St, Bangor, ME 04401-3060 | 2020-04-06 |
| 1316571938 | Leann Marie Hindman | Nurse Practitioner | 1012 Union St, Bangor, ME 04401-3060 | 2020-02-24 |
| 1912478926 | Porchia Waugh | Nurse Practitioner | 1012 Union St, Bangor, ME 04401-3060 | 2018-12-17 |
| 1437639150 | Elizabeth Kiser | Pharmacy Technician | 1012 Union St, Bangor, ME 04401-3060 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073139465 | Jaclyn Kimberly Foraker | Nurse Practitioner | 885 Union St Ste 215, Bangor, ME 04401-3092 | 2020-06-22 |
| 1790326585 | Remigiusz Mariusz Paluszak | Nurse Practitioner | 417 State St #400, Bangor, Me 04401, Bangor, MA 04401-0440 | 2019-10-02 |
| 1629594882 | Auteum Lake | Nurse Practitioner | 277 State St Ste 1b, Bangor, ME 04401-5440 | 2017-08-19 |
| 1659730323 | Cherie Christopherson | Nurse Practitioner | 417 State St Ste 200, Bangor, ME 04401-6630 | 2016-02-23 |
| 1194060236 | Lori M. Lipari | Nurse Practitioner | 50521 34th Ave, Bangor, MI 49013-9726 | 2012-11-30 |
| 1306107446 | Theresa Marie Knowles | Nurse Practitioner | 103 Maine Ave, Bangor, ME 04401-4330 | 2012-06-05 |
| 1164594057 | Amy Cotton | Nurse Practitioner | 885 Union Street, Suite 221, Bangor, ME 04402-0404 | 2006-11-15 |
| 1003901729 | Nancy J Fishwick | Nurse Practitioner | 30 Mckinley St, Bangor, ME 04401-3830 | 2006-10-04 |
| 1528098316 | Constance M Springer-tracy | Nurse Practitioner | 656 State Street, Bangor, ME 04401-5609 | 2006-07-04 |
| 1699715417 | Claire J Mooney | Nurse Practitioner | 915 Union St, Bangor, ME 04401-8602 | 2006-06-08 |
| Find all providers in BANGOR | ||||
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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.