KENNEBEC VALLEY COMMUNITY ACTION PROGRAM (NPI# 1720106362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720106362 |
| Entity Type | Organization |
| Organization Name | KENNEBEC VALLEY COMMUNITY ACTION PROGRAM |
| Other Organization Name | KVCAP FAMILY PLANNING OR KVCAP HEALTH SERVICES |
| Practice Address |
101 Water St Suite 204 Waterville ME 04901-6339 |
| Mailing Address |
97 Water St Waterville ME 04901-6339 |
| Practice Telephone | 2078591638 |
| Practice Fax Number | 2078591696 |
| Mailing Telephone | 2078591638 |
| Mailing Fax Number | 2078591696 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2008-04-09 |
| Authorized Official Name | MISS COLLEEN TAYLOR (FPNP) |
| Authorized Official Telephone | 2078591639 |
| Authorized Official Credential | FPNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R013536 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM PROV. NUMBER | 013238 | 01 |
| Other Name | Type Code |
|---|---|
| kvcap family planning or kvcap health services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508093048 | Kennebec Valley Community Action Program | Early Intervention Provider Agency | 97 Water St, Waterville, ME 04901-6339 | 2009-06-11 |
| 1255575080 | Kennebec Valley Community Action Program | Case Management | 97 Water St, Waterville, ME 04901-6339 | 2009-04-23 |
| 1164666996 | Kennebec Valley Community Action Program | Early Intervention Provider Agency | 97 Water St, Waterville, Waterville, ME 04901-6339 | 2009-04-23 |
| Street Address |
101 WATER ST SUITE 204 |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-6339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
| Find all providers in zip 04901 | ||||
| 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 |
|---|---|---|---|---|
| 1871580449 | Sandra P Lawrence | Nurse Practitioner | 325e Kennedy Memorial Dr, Waterville, ME 04901-4531 | 2005-09-29 |
| 1669684924 | Lydia Bolduc-marden | Nurse Practitioner | 4460 Mayflower Hl, Waterville, ME 04901-8844 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760739650 | Yanghee Courbron | Nurse Practitioner | 100 Brickhill Ave Ste 203, South Portland, ME 04106-1999 | 2012-08-09 |
| 1215216643 | Sarah Jane Norris | Nurse Practitioner | 29 City Point Rd, Peaks Island, ME 04108-1161 | 2011-08-16 |
| 1730485483 | Amber Lynn Berube | Nurse Practitioner | 31 Crossridge Dr, Windham, ME 04062-5568 | 2011-01-27 |
| 1982837019 | Bronwyn Elizabeth Sewell | Nurse Practitioner | 443 Congress St Fl 2, Portland, ME 04101-3531 | 2009-08-24 |
| 1164632014 | Margaret Anna Mcgalliard | Nurse Practitioner | 12 Stillwater Ave Ste 1, Bangor, ME 04401-3984 | 2007-05-22 |
| 1063563310 | Bonnie L Clark | Nurse Practitioner | 5 Silver Rdg, Veazie, ME 04401-7086 | 2007-01-15 |
| 1538245097 | Christina Rose Theriault | Nurse Practitioner | 139 Market St, Fort Kent, ME 04743-1410 | 2006-10-27 |
| 1144320300 | Jessie M. Reighley | Nurse Practitioner | 3 Marina Rd, Yarmouth, ME 04096-6783 | 2006-09-25 |
| 1497780613 | Susan E Eastler | Nurse Practitioner | 200 Livermore Falls Rd, Farmington, ME 04938-6244 | 2006-07-12 |
| 1356373005 | Priscilla Ann Perry | Nurse Practitioner | 68 Mount Hope Ave, Bangor, ME 04401-4096 | 2006-07-06 |
| Find all providers with the same taxonomy | ||||
| City | WATERVILLE |
| Zip Code | 04901 |
Please comment or provide details below to improve the information on KENNEBEC VALLEY COMMUNITY ACTION PROGRAM.
| 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.