TERRIE LEANNE TAYLOR (NPI# 1437217569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437217569 |
Entity Type | Individual |
Full Name | TERRIE LEANNE TAYLOR |
Credential | RNFA |
Practice Address |
417 State St Ste 421 Bangor ME 04401-6639 |
Mailing Address |
43 Whiting Hill Rd Ste 300 Brewer ME 04412-1006 |
Practice Telephone | 2079735250 |
Mailing Telephone | 2079735035 |
Mailing Fax Number | 2079735042 |
Enumeration Date | 2006-12-04 |
Last Update Date | 2017-11-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
CNP161156 | ME | Physician Assistants & Advanced Practice Nursing Providers |
N | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
R036755 | ME | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | RN LICENSE | R036755 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558507426 | Terrie Lee Taylor | Massage Therapist | 223 Marburger Rd, Evans City, PA 16033-7717 | 2008-12-26 |
1790877025 | Terrie Ellen Taylor | Internal Medicine | B305 W Fee Hall, East Lansing, MI 48824-1315 | 2006-09-28 |
1902168032 | Terrie Ann Taylor | Social Worker | 527 E Lancaster Ave, Shillington, PA 19607-1364 | 2012-06-14 |
Street Address |
417 STATE ST STE 421 |
City | BANGOR |
State | ME |
Zip Code | 04401-6639 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457337172 | John Dean Klemperer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 417 State St Ste 421, Bangor, ME 04401-6639 | 2005-12-15 |
1205324415 | Ashley Eileen Sirois | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 417 State St Ste 421, Bangor, ME 04401-6639 | 2018-04-24 |
1356852719 | Issac Pena-renteria | Physician Assistant | 417 State St Ste 421, Bangor, ME 04401-6639 | 2017-10-12 |
1912417817 | Kathleen R Marcoux | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 417 State St Ste 421, Bangor, ME 04401-6639 | 2017-10-05 |
1750716213 | Angela Wakefield Michalka | Physician Assistant | 417 State St Ste 421, Bangor, ME 04401-6639 | 2013-09-03 |
1104169663 | Alysn D. Healy | Physician Assistant | 417 State St Ste 421, Bangor, ME 04401-6639 | 2013-04-03 |
1134417462 | David Pantino | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 417 State St Ste 421, Bangor, ME 04401 | 2011-07-20 |
1225329840 | Jamie M Eridon | Surgery | 417 State St Ste 421, Bangor, ME 04401-6639 | 2011-04-30 |
1528395720 | Darci R Bubar | Nurse Practitioner | 417 State St Ste 421, Bangor, ME 04401-6639 | 2009-11-09 |
1497080055 | Mohammed Jawad Latif | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 417 State St Ste 421, Bangor, ME 04401-6639 | 2009-10-14 |
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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 | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265816961 | Jill Ann Vaughn | Nurse Practitioner | Husson University Wellness Center, 1 College Circle, Bangor, ME 04401 | 2015-07-13 |
1255871240 | Courtney Lee Taylor | Nurse Practitioner | 417 State St, Webber East, Suite 421, Bangor, ME 04401-6630 | 2017-02-24 |
1922426790 | Sandra Jeanne Britton | Nurse Practitioner | 1365 Broadway, Bangor, ME 04401-2401 | 2014-03-31 |
1114279833 | Danielle Vafiades | Nurse Practitioner | 417 State St, Suite 421, Bangor, ME 04401-6630 | 2012-10-04 |
1265453625 | Darlene D Teeto Webb | Nurse Practitioner | 417 State St, Suite #421, Bangor, ME 04401-6630 | 2006-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437791464 | Margaret Marlette Hamilton | Nurse Practitioner | 121 Medical Center Dr Ste 2550, Brunswick, ME 04011-2681 | 2019-10-10 |
1043786551 | Lindsey Forleo | Nurse Practitioner | 22 Bramhall St Rm 4670, Portland, ME 04102-3134 | 2018-10-23 |
1346618394 | Clarissa Michalak | Nurse Practitioner | 31 Shady Run Ln, Cumberland, ME 04021-3818 | 2015-09-08 |
1407455793 | Stephen John Cihocki | Nurse Practitioner | 1600b Congress St, Portland, ME 04102 | 2020-10-19 |
1700359544 | Marcello Romeo | Nurse Practitioner | 300 Main St, Lewiston, ME 04240-7027 | 2019-01-04 |
1457850968 | Jenee R Wechsler | Nurse Practitioner | 15 Enterprise Dr Ste 100, Augusta, ME 04330-7998 | 2018-02-10 |
1821503129 | Clancy Erickson | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2017-12-08 |
1932610599 | Andrea Wyman | Nurse Practitioner | 818 Congress St, Portland, ME 04102-3112 | 2017-10-22 |
1750800512 | Elizabeth Claire Scott | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2017-09-13 |
1467973693 | Caroline Beaule | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2017-06-28 |
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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.