MARK OUELLETTE (NPI# 1447649280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447649280 |
| Entity Type | Individual |
| Full Name | MARK OUELLETTE |
| Credential | FNP-C |
| Practice Address |
2 Livewell Drive - North Tower Kennebunk ME 04043 |
| Mailing Address |
Po Box 1638 Albany NY 12201-1638 |
| Practice Telephone | 2074676900 |
| Mailing Telephone | 2077774111 |
| Mailing Fax Number | 2077836660 |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2019-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | CNP151002 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP151002 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 144 State St, Portland, ME 041013776 | 2078793190 | |
| 91 Campus Ave, Lewiston, ME 042406030 | 2077778120 | 2077778984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588720510 | Mark Ouellette | Physical Therapist | 1144 Willagillespie Rd, Ste 1, Eugene, OR 97401-6729 | 2006-12-27 |
| 1558388587 | Mark C Ouellette | Pharmacist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2006-07-16 |
| Street Address |
2 LIVEWELL DRIVE - NORTH TOWER |
| City | KENNEBUNK |
| State | ME |
| Zip Code | 04043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397032 | Savida Agency, Inc. | Psychiatry & Neurology | 21a Western Ave, Suite 1, Kennebunk, ME 04043 | 2019-07-02 |
| 1578018610 | Christine Fecko | Social Worker | 14 Summer Street, Kennebunk, ME 04043 | 2016-08-18 |
| 1861841785 | Sarah Pollack | Pharmacist | 18 Blue Wave Professional Center, Kennebunk, ME 04043 | 2016-06-10 |
| 1417305566 | You&me Psychological and Consultation Services (ypcs) | Psychologist | Room 201, 8-7, Yanghwaro 12gil, Mapo-gu, Seoul, KOREA 04043 | 2016-05-31 |
| 1679933972 | Kimberly Kasten | Physician Assistant | 2 Livewell Drive, South Tower, Suite 200, Kennebunk, ME 04043 | 2016-02-29 |
| 1033592837 | Rachel Lawson Orr | Clinical Neuropsychologist | Southern Maine Health Care Pediatrics, 3 Shape Drive, Kennebunk, ME 04043 | 2015-06-30 |
| 1902155005 | Kristina Caron Occupational Therapy, LLC | Occupational Therapist | 27 Fletcher St Apt 2, Kennebunk, ME 04043 | 2012-09-05 |
| 1174838361 | Tracy Lynn Mason | Occupational Therapist | 87 Fletcher St., Maine Regional School Unit 21, Kennebunk, ME 04043 | 2010-08-11 |
| 1538392261 | Susanne Randall | In Home Supportive Care | 3 Elannas Way, Kennebunk, ME 04043 | 2009-08-28 |
| 1700064854 | Julia Burns Riley | Social Worker | 5 Nasons Court, 6, Kennebunk, ME 04043 | 2008-01-31 |
| Find all providers in zip 04043 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760651145 | Deborah A Freeman | Nurse Practitioner | 21 Western Ave Ste A, Kennebunk, ME 04043-7354 | 2008-02-29 |
| 1598957755 | Gloria I. Oppen | Nurse Practitioner | 69 York St Ste 4, Kennebunk, ME 04043 | 2007-08-13 |
| 1881672988 | Patti L. Duprey | Nurse Practitioner | 57 Portland Road, Suite 5, Kennebunk, ME 04043 | 2006-01-09 |
| 1235685785 | Kristin Farrand | Nurse Practitioner | 26 Barnard Ln, Kennebunk, ME 04043-6714 | 2016-08-25 |
| 1467838854 | Emily T O'connell | Nurse Practitioner | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2015-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788852 | Kimberly Harvell | Nurse Practitioner | 37 Palmer Ln, Ste 3, Calais, ME 04619-1341 | 2020-10-20 |
| 1013515790 | Jana H Christman | Nurse Practitioner | 81 Medical Center Dr Ste 2150, Brunswick, ME 04011-2764 | 2020-10-14 |
| 1114539400 | Granite Hill Family Medicine LLC | Nurse Practitioner | 89 Water St, Hallowell, ME 04347-1477 | 2020-08-19 |
| 1073139465 | Jaclyn Kimberly Foraker | Nurse Practitioner | 885 Union St Ste 215, Bangor, ME 04401-3092 | 2020-06-22 |
| 1962023630 | Amy E Rousseau | Nurse Practitioner | 96 Campus Ave Ste 214, Lewiston Me, ME 04240-6019 | 2020-05-04 |
| 1952921488 | Amanda Rose Robbio | Nurse Practitioner | 244 Lakewood Rd, Skowhegan, ME 04950 | 2020-04-24 |
| 1114566650 | Sadie Garnache-poirier | Nurse Practitioner | 65 W Commercial St Ste 107, Portland, ME 04101-4789 | 2020-01-02 |
| 1902441629 | Jennifer Marie Colpitts | Nurse Practitioner | 1600 Congress St Ste B, Portland, ME 04102-2148 | 2019-11-18 |
| 1710529680 | Natasha Lynn Williamson | Nurse Practitioner | 63 Hurricane Rd, Gorham, ME 04038-2414 | 2019-10-11 |
| 1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
| Find all providers with the same taxonomy | ||||
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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.