KENDRA MARIE PARADIS (NPI# 1588012314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588012314 |
| Entity Type | Individual |
| Full Name | KENDRA MARIE PARADIS |
| Other Name | KENDRA MARIE ALBERT |
| Credential | DO |
| Practice Address |
329 Wilson St Brewer ME 04412 |
| Mailing Address |
C/o St Marys Health System - Provider Enrollment Po Box 7291 Lewiston ME 04243-7291 |
| Practice Telephone | 2073073000 |
| Practice Fax Number | 2079071043 |
| Mailing Telephone | 2077778941 |
| Mailing Fax Number | 2077774397 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO2873 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1588012314 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 895 Union St, Suite 12, Bangor, ME 044013053 | 2079737979 | 2079459579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568002194 | Kendra Jean Paradis | Social Worker | 108 W Main St, Norton, MA 02766-1248 | 2020-01-12 |
| Street Address |
329 WILSON ST |
| City | BREWER |
| State | ME |
| Zip Code | 04412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396785689 | Alisa M Cleary | Neuromusculoskeletal Medicine & OMM | 329 Wilson St, Brewer, ME 04412-1504 | 2006-06-07 |
| 1154947463 | Ashlee B Stahl | Nurse Practitioner | 329 Wilson St, Brewer, ME 04412-1504 | 2020-06-23 |
| 1164501748 | Sunbury Primary Care, P.a. | Family Medicine | 329 Wilson St, Brewer, ME 04412-1504 | 2006-11-03 |
| 1346353489 | Jennifer Freese | Family Medicine | 329 Wilson St, Brewer, ME 04412-1504 | 2006-08-15 |
| 1053347732 | Dennis Scott Simpson | Physician Assistant | 329 Wilson St, Brewer, ME 04412-1504 | 2006-06-24 |
| 1306880729 | Christine A Nealley | Nurse Practitioner | 329 Wilson St, Brewer, ME 04412-1504 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205326899 | Kolby Arnold | Physical Therapist | 277 State St., Brewer, ME 04412 | 2018-05-18 |
| 1215434477 | Kelley Anne Hill | Counselor | 17 Houston Lane, Brewer, ME 04412 | 2018-04-12 |
| 1497250740 | Northeast Dental Partners, Pa | Dentist | 24 Dirigo Drive, Brewer, ME 04412 | 2018-03-28 |
| 1821549445 | Jenelle Hazzard | Nurse Practitioner | 735 Wilson St., Brewer, ME 04412 | 2016-10-19 |
| 1154877520 | Gentle Hands Home Care | Home Health | 153 State St Suite 5, Brewer, ME 04412 | 2016-08-26 |
| 1932459708 | Danielle M Kissinger | Physical Medicine & Rehabilitation | 227 State St, Brewer, ME 04412 | 2012-09-19 |
| 1750658738 | Todd James Hachey | Pharmacist | 437 Wilson St., Walgreens 11545, Brewer, ME 04412 | 2011-11-19 |
| 1407154107 | Judy Anderson | Speech-Language Pathologist | 79 Parkway South, Pupil Services Office, Brewer, ME 04412 | 2011-03-03 |
| 1487898508 | Elizabeth A Morse | Technician/Technologist | 272 State Street, Optical Outlet, LLC, Brewer, ME 04412 | 2009-04-21 |
| 1396902359 | Mindy J Smith | Occupational Therapy Assistant | 74 Parkway South, Brewer, ME 04412 | 2008-05-19 |
| Find all providers in zip 04412 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477047728 | Beatrice Ann Russell | Family Medicine | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2018-06-20 |
| 1376071894 | Kathleen Anne Knipscher | Family Medicine | 234 State St, Brewer, ME 04412-1519 | 2017-05-29 |
| 1679953194 | Courtney Lauren Tague | Family Medicine | 234 State St, Brewer, ME 04412-1519 | 2015-06-01 |
| 1265844245 | Stacey Lucia Gibson | Family Medicine | 234 State St, Brewer, ME 04412-1519 | 2014-05-27 |
| 1831501717 | Marcus James Christiansen | Family Medicine | 234 State St, Brewer, ME 04412-1519 | 2014-05-27 |
| 1821389545 | Atul K Soreng | Family Medicine | 735 Wilson Street, Brewer, ME 04412-1003 | 2011-04-28 |
| 1134392400 | Lisa Madeline Billings-lindsey | Family Medicine | 234 State St, Brewer, ME 04412-1519 | 2008-04-08 |
| 1669657532 | Lalaine C Llanto | Family Medicine | 43 Whiting Hill Rd, Suite 300, Brewer, ME 04412-1005 | 2008-01-09 |
| 1013190545 | Ian Noel Tadeo Don Don S Panuncialman | Family Medicine | 234 State St, Brewer, ME 04412-1519 | 2007-12-06 |
| 1083834220 | Patricia Ann Kenaley | Family Medicine | 735 Wilson St, Brewer, ME 04412-1000 | 2007-04-30 |
| Find all providers in BREWER | ||||
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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.