KATELYN A. BOLDUC (NPI# 1548647225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548647225 |
| Entity Type | Individual |
| Full Name | KATELYN A. BOLDUC |
| Other Name | KATELYN RASCHE |
| Credential | FNP |
| Practice Address |
24 Miles Center Way Damariscotta ME 04543-4047 |
| Practice Telephone | 2075634250 |
| Practice Fax Number | 2075634246 |
| Mailing Telephone | 2075634250 |
| Mailing Fax Number | 2075634246 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2018-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP151076 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
24 MILES CENTER WAY |
| City | DAMARISCOTTA |
| State | ME |
| Zip Code | 04543-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174520852 | Mark T. Mainella | Surgery | 24 Miles Center Way, Damariscotta, ME 04543-4047 | 2005-07-07 |
| 1376174706 | Chelsea T Jose | Registered Nurse | 24 Miles Center Way, Damariscotta, ME 04543-4067 | 2020-02-04 |
| 1144863945 | Kathryn Healing Williams | Nurse Practitioner | 24 Miles Center Way, Damariscotta, ME 04543-4067 | 2019-10-24 |
| 1659912384 | Monica Ann Tilley | Nurse Practitioner | 24 Miles Center Way, Damariscotta, ME 04543-4067 | 2019-10-03 |
| 1245895234 | Lori Ann | Nurse Practitioner | 24 Miles Center Way, Damariscotta, ME 04543-4067 | 2019-05-06 |
| 1518430750 | Heather Liimakka | Nurse Practitioner | 24 Miles Center Way, Damariscotta, ME 04543-4067 | 2019-01-10 |
| 1790233575 | Craig J. Urwin | Physician Assistant | 24 Miles Center Way, Damariscotta, ME 04543-4047 | 2016-09-21 |
| 1417340662 | Monika E. Gulyas | Advanced Practice Midwife | 24 Miles Center Way, Damariscotta, ME 04543-4047 | 2015-03-12 |
| 1114321882 | Brooke A. Perez | Physician Assistant | 24 Miles Center Way, Damariscotta, ME 04543-4047 | 2014-10-09 |
| 1609208032 | Linda E. Brouwer | Nurse Practitioner | 24 Miles Center Way, Damariscotta, ME 04543-4047 | 2013-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497379416 | Misti Day | Registered Nurse | 35 Miles Center Way, Damariscotta, ME 04543 | 2020-06-05 |
| 1962967356 | Olivia Kay York | Specialist/Technologist | 20 Marshview Lane, Damariscotta, ME 04543 | 2019-02-10 |
| 1649764036 | Lisa Marie Dayringer | Audiologist | 468 Main Street Centre, Damariscotta, ME 04543 | 2018-06-19 |
| 1184174088 | Central Lincoln County Young Men's Christian Association, Inc. | Health Educator | 525 Main Street, Damariscotta, ME 04543 | 2016-10-04 |
| 1336494715 | Megan Mary Bain | Social Worker | 24 Miles Way, Damariscotta, ME 04543 | 2012-07-20 |
| 1245501253 | Diane Charpentier | Hearing Instrument Specialist | 468 Main Street, Damariscotta, ME 04543 | 2012-01-23 |
| 1134358823 | Marsha O. May | Occupational Therapist | 466 Main Street Centre, Damariscotta, ME 04543 | 2009-07-02 |
| 1992933378 | Lydia Ann Atkins | Speech-Language Pathologist | 464 Main St. Centre, Damariscotta, ME 04543 | 2009-06-24 |
| 1659509016 | Joan Cameron | Occupational Therapy Assistant | 466 Main St. Centre, Damariscotta, ME 04543 | 2009-06-24 |
| 1245474683 | Child Development Services - Lincoln | Speech-Language Pathologist | 114 Church Street, Damariscotta, ME 04543 | 2009-04-29 |
| Find all providers in zip 04543 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144863945 | Kathryn Healing Williams | Nurse Practitioner | 24 Miles Center Way, Damariscotta, ME 04543-4067 | 2019-10-24 |
| 1659912384 | Monica Ann Tilley | Nurse Practitioner | 24 Miles Center Way, Damariscotta, ME 04543-4067 | 2019-10-03 |
| 1245895234 | Lori Ann | Nurse Practitioner | 24 Miles Center Way, Damariscotta, ME 04543-4067 | 2019-05-06 |
| 1609208032 | Linda E. Brouwer | Nurse Practitioner | 24 Miles Center Way, Damariscotta, ME 04543-4047 | 2013-08-08 |
| 1740612373 | Miles Memorial Hospital Incorporated | Nurse Practitioner | 5 Miles Center Way, Damariscotta, ME 04543-4067 | 2013-08-06 |
| 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 | ||||
| City | DAMARISCOTTA |
| Zip Code | 04543 |
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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.