KRISTY MITSUI (NPI# 1295107928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295107928 |
| Entity Type | Individual |
| Full Name | KRISTY MITSUI |
| Other Name | KRISTY BEAUDOIN |
| Credential | CPNP-PC |
| Practice Address |
159 Silver St Waterville ME 04901-5813 |
| Practice Telephone | 2078735437 |
| Practice Fax Number | 2078615448 |
| Mailing Telephone | 2078735437 |
| Mailing Fax Number | 2078615448 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2016-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
CNP151155 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
159 SILVER ST |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-5813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073517819 | Charles E Danielson | Pediatrics | 159 Silver St, Waterville, ME 04901-5813 | 2005-06-09 |
| 1336490804 | Nicole M Donahue | Nurse Practitioner | 159 Silver St, Waterville, ME 04901-5813 | 2012-09-25 |
| 1083843023 | Jessica L Rubashkin | Registered Nurse | 159 Silver St, Waterville, ME 04901-5813 | 2009-07-13 |
| 1700037330 | Whitney Glyn Lutz | Nurse Practitioner | 159 Silver St, Waterville, ME 04901-5813 | 2008-10-01 |
| 1699974931 | Gabrielle Harpell | Pediatrics | 159 Silver St, Waterville, ME 04901-5813 | 2007-07-17 |
| 1871719088 | Robin Ann Leblond | Pediatrics | 159 Silver St, Waterville, ME 04901-5813 | 2007-04-17 |
| 1699852715 | Amelia Brochu | Pediatrics | 159 Silver St, Waterville, ME 04901-5813 | 2006-11-01 |
| 1326126350 | Cynthia Howes | Pediatrics | 159 Silver St, Waterville, ME 04901-5813 | 2006-11-01 |
| 1790871994 | Waterville Pediatrics | Pediatrics | 159 Silver St, Waterville, ME 04901-5813 | 2006-10-05 |
| 1104820943 | Michael P Hofmann | Pediatrics | 159 Silver St, Waterville, ME 04901-5813 | 2005-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
| Find all providers in zip 04901 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336490804 | Nicole M Donahue | Nurse Practitioner | 159 Silver St, Waterville, ME 04901-5813 | 2012-09-25 |
| 1700037330 | Whitney Glyn Lutz | Nurse Practitioner | 159 Silver St, Waterville, ME 04901-5813 | 2008-10-01 |
| 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 |
| 1558324772 | Jonathan Libby | Nurse Practitioner | 100 Campus Ave Apt 203, Lewiston, ME 04240-6079 | 2006-04-10 |
| Find all providers with the same taxonomy | ||||
| City | WATERVILLE |
| Zip Code | 04901 |
Please comment or provide details below to improve the information on KRISTY MITSUI.
| 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.