ALYSSA K ROULEAU (NPI# 1538778972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538778972 |
| Entity Type | Individual |
| Full Name | ALYSSA K ROULEAU |
| Credential | PMHNP |
| Practice Address |
93 Campus Ave Lewiston ME 04240-6030 |
| Mailing Address |
C/o St Marys Health System - Provider Enrollment Po Box 7291 Lewiston ME 04243-7291 |
| Practice Telephone | 2077778700 |
| Practice Fax Number | 2077778826 |
| Mailing Telephone | 2077778950 |
| Mailing Fax Number | 2077778800 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CNP201295 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Campus Ave Ste 208, Lewiston, ME 042406069 | 2077778974 | 2077778946 |
| Street Address |
93 CAMPUS AVE |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-6030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194725465 | Ronald M. Reilly | Emergency Medicine | 93 Campus Ave, Lewiston, ME 04240-6030 | 2005-07-28 |
| 1356802540 | Phyllis Wolf Wilkins | Registered Nurse | 93 Campus Ave, Lewiston, ME 04240-6030 | 2019-03-29 |
| 1306303813 | Katherine Jeniffer Dawkins | Nurse Practitioner | 93 Campus Ave, Lewiston, ME 04240-6030 | 2019-02-21 |
| 1942789482 | Hospitalist Medicine Physicians of Maine -tcg, Pllc | Internal Medicine | 93 Campus Ave, Lewiston, ME 04240-6030 | 2018-08-07 |
| 1942722723 | Valerie Denison Porcello | Nurse Practitioner | 93 Campus Ave, Lewiston, ME 04240-6030 | 2017-07-12 |
| 1487005088 | Jessica E Newcomb | Nurse Anesthetist, Certified Registered | 93 Campus Ave, Lewiston, ME 04240 | 2016-06-24 |
| 1700236742 | Andrea Michele Carr | Registered Nurse | 93 Campus Ave, Lewiston, ME 04240-6030 | 2016-06-21 |
| 1710343777 | Patricia Rand | Nurse Practitioner | 93 Campus Ave, Lewiston, ME 04240-6030 | 2016-01-06 |
| 1558731034 | Janice M Oliveira | Nurse Anesthetist, Certified Registered | 93 Campus Ave, St Mary's Anesthesia Associates,p.a., Lewiston, ME 04240-6030 | 2015-09-28 |
| 1215324694 | Annabel L Bradford | Psychiatry & Neurology | 93 Campus Ave, Lewiston, ME 04240-6030 | 2015-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024689 | Jessica Erin Bringman | Nurse Practitioner | 3624 23rd St, Lewiston, ID 83501-6121 | 2020-02-10 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1417430554 | Samantha Reny | Nurse Practitioner | 10 High St Ste 301, Lewiston, ME 04240-7656 | 2018-09-14 |
| 1033288378 | Michael S Hiltz | Nurse Practitioner | 689 Sabattus St, Lewiston, ME 04240-3831 | 2006-11-08 |
| 1205858289 | Lynn-marie Morgan Peashka | Nurse Practitioner | 428 6th Ave, Lewiston, ID 83501-2355 | 2006-07-25 |
| 1568087005 | Mountain View Health Pllc | Nurse Practitioner | 609 Bryden Ave Ste B, Lewiston, ID 83501-5193 | 2020-06-10 |
| 1497318422 | Dg Psychiatric Services LLC | Nurse Practitioner | 523 1/2 Main St Ste 7, Lewiston, ID 83501-1870 | 2019-04-16 |
| 1306303813 | Katherine Jeniffer Dawkins | Nurse Practitioner | 93 Campus Ave, Lewiston, ME 04240-6030 | 2019-02-21 |
| 1538647664 | Annabelle Schierman | Nurse Practitioner | 10 High St Ste 103, Lewiston, ME 04240-7640 | 2018-07-31 |
| 1073009908 | David J. Wright | Nurse Practitioner | 100 Campus Ave Ste 208, Lewiston, ME 04240-6069 | 2018-07-03 |
| Find all providers in LEWISTON | ||||
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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.