COLLEEN TETZLAFF (NPI# 1710083233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710083233 |
| Entity Type | Individual |
| Full Name | COLLEEN TETZLAFF |
| Credential | FNP |
| Practice Address |
222 Auburn St Ste 103 Portland ME 04103-6005 |
| Mailing Address |
Po Box 1638 Albany NY 12201-1638 |
| Practice Telephone | 2076993838 |
| Practice Fax Number | 8552163778 |
| Mailing Telephone | 2077774111 |
| Mailing Fax Number | 2077836660 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP81384 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30344710 | 05 | |
| ME | 432379199 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871871590 | Colleen Marie Tetzlaff | Physical Therapy Assistant | 5360 Saltsburg Rd, Verona, PA 15147-3033 | 2011-07-29 |
| 1144306689 | Colleen Hogan Tetzlaff | Physician Assistant | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2006-10-27 |
| Street Address |
222 AUBURN ST STE 103 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-6005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346228509 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 222 Auburn St, Portland, ME 04103-6004 | 2006-01-06 |
| 1033766563 | Jacqueline R Delong | Speech-Language Pathologist | 222 Auburn St, Portland, ME 04103-6002 | 2019-08-20 |
| 1124688304 | Alice Hervey | Speech-Language Pathologist | 222 Auburn St, Portland, ME 04103-6002 | 2019-06-19 |
| 1497278683 | Katelyn Deblois | Speech-Language Pathologist | 222 Auburn St, Portland, ME 04103-6002 | 2017-07-20 |
| 1780126557 | Carolyn Branson Pllc | Counselor | 222 Auburn St, Suite 201, Portland, ME 04103-6002 | 2016-11-10 |
| 1710336318 | Heidi A Heap-chester Md LLC | Family Medicine | 222 Auburn St, Suite 102, Portland, ME 04103-6002 | 2016-06-06 |
| 1225403462 | Brittney Astbury | Speech-Language Pathologist | 222 Auburn St, Portland, ME 04103-6002 | 2015-12-13 |
| 1548634470 | Carolyn Branson | Counselor | 222 Auburn St, Ste. 201, Portland, ME 04103-6002 | 2015-11-16 |
| 1568847333 | Anastasia M. Valcourt | Speech-Language Pathologist | 222 Auburn St, Portland, ME 04103-6002 | 2015-07-22 |
| 1316332604 | Iris Savernik Do Osteopathic Care LLC | Neuromusculoskeletal Medicine & OMM | 222 Auburn St, Portland, ME 04103-6002 | 2015-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822794 | Danielle Langer | Nurse Practitioner | 35 Ridgeview Rd, Portland, CT 06480-4014 | 2020-08-23 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 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 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
| 1407401474 | Abby Christine Vopal | Nurse Practitioner | 66 Bramhall St Fl 1, Portland, ME 04102-3355 | 2019-08-07 |
| 1770145294 | Cynthia Marie Martinez | Nurse Practitioner | 1145 Austin St, Portland, TX 78374-2013 | 2019-07-04 |
| 1528532306 | Matthew James Keelin | Nurse Practitioner | 6801 Ne Cornfoot Rd, Portland, OR 97218-2743 | 2019-01-15 |
| 1659847580 | Colleen Jeanette Scott | Nurse Practitioner | 650 Nw Irving St, Portland, OR 97209-1272 | 2018-10-18 |
| Find all providers in PORTLAND | ||||
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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.