CAROL MCCREADY (NPI# 1720033384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720033384 |
| Entity Type | Individual |
| Full Name | CAROL MCCREADY |
| Credential | NP |
| Practice Address |
970 Forest Ave Portland ME 04103-3331 |
| Mailing Address |
81 Rivermeadow Dr Steep Falls ME 04085-6842 |
| Practice Telephone | 2077978881 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
023218 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | UPIN | P69992 | 01 |
| Street Address |
970 FOREST AVE |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-3331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902977135 | Patricia J Rewak | Nurse Practitioner | 970 Forest Ave, Portland, ME 04103-3331 | 2006-11-10 |
| 1285663377 | Amy Harris | Advanced Practice Midwife | 970 Forest Ave, Portland, ME 04103-3331 | 2006-07-01 |
| 1336175363 | Deanna Bennett | Nurse Practitioner | 970 Forest Ave, Portland, ME 04103-3331 | 2006-06-23 |
| 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 | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760043673 | Tracy Lee Stevens | Nurse Practitioner | 2222 Ne 130th Ave, Portland, OR 97230-1705 | 2019-06-23 |
| 1982837019 | Bronwyn Elizabeth Sewell | Nurse Practitioner | 443 Congress St Fl 2, Portland, ME 04101-3531 | 2009-08-24 |
| 1992831192 | Soledad Grefnes Iniguez | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # Uhs29, Portland, OR 97239-3011 | 2007-02-24 |
| 1841363744 | Susan Wells | Nurse Practitioner | 1723 Sw Martha St, Portland, OR 97239-2715 | 2006-11-16 |
| 1255414223 | Kyle Bell Mcavoy | Nurse Practitioner | 120 Nw 14th Ave., Suite 200, Portland, OR 97409 | 2006-10-23 |
| 1043303902 | Sheryl Lynne Horwitz | Nurse Practitioner | 2701 Nw Vaughn St Ste 205, Portland, OR 97210-5352 | 2006-10-02 |
| 1689677445 | Evonne Maria Kandas | Nurse Practitioner | 1130 Nw 22nd Ave, Suite 110, Portland, OR 97210-2900 | 2005-05-24 |
| 1194251637 | Natalie Ann Mohler | Nurse Practitioner | 501 N Graham St Ste 550, Portland, OR 97227-2010 | 2017-05-03 |
| 1194274274 | Linda Anzalone | Nurse Practitioner | 1608 Se Ankeny St, Portland, OR 97214-1448 | 2016-09-29 |
| 1629423306 | Whitney Shaw Williams | Nurse Practitioner | 443 Congress St Fl 2, Portland, ME 04101-3531 | 2016-04-29 |
| 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.