MELISSA N LIBBY FNP LLC (NPI# 1417350901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417350901 |
| Entity Type | Organization |
| Organization Name | MELISSA N LIBBY FNP LLC |
| Practice Address |
100 Brickhill Ave Suite 304 South Portland ME 04106-1999 |
| Practice Telephone | 2077614700 |
| Practice Fax Number | 2077614744 |
| Mailing Telephone | 2077614700 |
| Mailing Fax Number | 2077614744 |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2015-04-16 |
| Authorized Official Name | MELISSA N LIBBY (PRESIDENT) |
| Authorized Official Telephone | 2077614700 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | CNP81250 | ME | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1417350901 | 05 |
| Street Address |
100 BRICKHILL AVE SUITE 304 |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106-1999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609877828 | Wayne D Westland | Physician Assistant | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2005-08-10 |
| 1689217903 | Natalia Valentinovna Tonseth | Nurse Practitioner | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2019-10-18 |
| 1427691765 | Sarah Melissa Carter | Registered Nurse | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2019-10-18 |
| 1801318654 | Abdul Rahman Qani | Physician Assistant | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2017-07-13 |
| 1366989824 | Moira Burke | Dietitian, Registered | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2017-01-23 |
| 1639622756 | Courtney Myles | Nurse Practitioner | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2016-07-25 |
| 1700258779 | Portland Community Health Center | Clinic/Center | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2015-10-29 |
| 1255703955 | Christopher Nilsson | Physician Assistant | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2015-10-21 |
| 1790156792 | Deirdre Sulka-meister Fnp LLC | Point of Service | 100 Brickhill Ave, Ste 304, South Portland, ME 04106-1999 | 2015-10-15 |
| 1578806832 | Sanchita Bose | Urology | 100 Brickhill Ave, South Portland, ME 04106 | 2013-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790156792 | Deirdre Sulka-meister Fnp LLC | Point of Service | 100 Brickhill Ave, Ste 304, South Portland, ME 04106-1999 | 2015-10-15 |
| 1215234174 | Central Maine Partners In Health, LLC | Point of Service | 254 Western Ave, South Portland, ME 04106-2410 | 2011-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528466687 | Eyecare Now | Point of Service | 248 State St., Ste. 7, Ellsworth, ME 04605 | 2014-12-05 |
| 1689093528 | Sbyam Interpretation Services | Point of Service | 57 Birch Street Suite 204, Lewiston, ME 04240 | 2014-04-08 |
| 1497186191 | Lommler, Pa | Point of Service | 205 French Street, Suite 2, Bangor, ME 04401-5064 | 2013-12-05 |
| 1740562339 | Nu Transcription Inc | Point of Service | 18 Turner St, Westbrook, ME 04092 | 2011-09-09 |
| 1881917359 | Ethel's Tree of Life, Inc. | Point of Service | 518 Rte 1, Kittery, ME 03904 | 2010-03-11 |
| 1114153939 | Kennebec Valley Family Dentistry | Point of Service | 269 Water St, Augusta, ME 04330-4645 | 2009-06-08 |
| 1134397557 | Philip R. Poulin, O.d. | Point of Service | 87 Exchange St, Portland, ME 04101-5001 | 2008-02-19 |
| 1043348733 | Pat Jubinville | Point of Service | 280 Cider Hill Rd, Exeter, ME 04435-3011 | 2007-03-02 |
| 1871668947 | Bayside Employee Health Center | Point of Service | 323 Marginal Way, Portland, ME 04101-2543 | 2006-11-22 |
| 1942671250 | Hospice Volunteers of Somerset County | Point of Service | 41 Main St, Skowhegan, ME 04976-1151 | 2015-10-13 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
Please comment or provide details below to improve the information on MELISSA N LIBBY FNP LLC.
| 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.