MARY SHEA (NPI# 1780648246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780648246 |
| Entity Type | Individual |
| Full Name | MARY SHEA |
| Credential | FNP |
| Practice Address |
86 Davis St Bangor ME 04401-6410 |
| Mailing Address |
1795 Hammond St Hermon ME 04401-1135 |
| Practice Telephone | 2079922205 |
| Practice Fax Number | 2079922207 |
| Mailing Telephone | 2079922205 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R031280 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | TRICARE | R031280 | 01 |
| ME | AETNA | 5871218 | 01 |
| ME | HARVARD PILGRIM | MN5123 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223590 | Mary Rogers Shea | Counselor | 400 Washington St Ste 106, Braintree, MA 02184-4764 | 2020-04-14 |
| 1720563927 | Mary Shea | Physical Therapist | 82 N Main St Ste 1, Carbondale, PA 18407-1914 | 2018-10-03 |
| 1679056279 | Mary Shea | Registered Nurse | 1430 S High St, Columbus, OH 43207-1045 | 2018-09-10 |
| 1275084857 | Mary Ann Shea | Registered Nurse | 800 N Tucker Blvd, Saint Louis, MO 63101-1000 | 2016-10-19 |
| 1326434432 | Mary Moussa Shea | Marriage & Family Therapist | 1935 J N Pease Pl, Suite 201, Charlotte, NC 28262-4554 | 2015-04-15 |
| 1639327141 | Mary Caitlin Shea | Social Worker | 800 Cummings Ctr, Suite 266t, Beverly, MA 01915-6175 | 2008-09-09 |
| 1346367703 | Mary T Shea | Occupational Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2007-03-23 |
| 1982791687 | Mary Elizabeth Shea | Psychologist | 6937 Medical View Ln, Zephyrhills, FL 33542-6648 | 2006-10-06 |
| 1811988413 | Mary Ellen Shea | Occupational Therapist | 301 21st Ave N, Nashville, TN 37203-1821 | 2005-11-02 |
| Street Address |
86 DAVIS ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-6410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174586242 | Laurie Eddy | Nurse Practitioner | 86 Davis St, Bangor, ME 04401-6410 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073139465 | Jaclyn Kimberly Foraker | Nurse Practitioner | 885 Union St Ste 215, Bangor, ME 04401-3092 | 2020-06-22 |
| 1790326585 | Remigiusz Mariusz Paluszak | Nurse Practitioner | 417 State St #400, Bangor, Me 04401, Bangor, MA 04401-0440 | 2019-10-02 |
| 1629594882 | Auteum Lake | Nurse Practitioner | 277 State St Ste 1b, Bangor, ME 04401-5440 | 2017-08-19 |
| 1659730323 | Cherie Christopherson | Nurse Practitioner | 417 State St Ste 200, Bangor, ME 04401-6630 | 2016-02-23 |
| 1194060236 | Lori M. Lipari | Nurse Practitioner | 50521 34th Ave, Bangor, MI 49013-9726 | 2012-11-30 |
| 1306107446 | Theresa Marie Knowles | Nurse Practitioner | 103 Maine Ave, Bangor, ME 04401-4330 | 2012-06-05 |
| 1164594057 | Amy Cotton | Nurse Practitioner | 885 Union Street, Suite 221, Bangor, ME 04402-0404 | 2006-11-15 |
| 1003901729 | Nancy J Fishwick | Nurse Practitioner | 30 Mckinley St, Bangor, ME 04401-3830 | 2006-10-04 |
| 1528098316 | Constance M Springer-tracy | Nurse Practitioner | 656 State Street, Bangor, ME 04401-5609 | 2006-07-04 |
| 1699715417 | Claire J Mooney | Nurse Practitioner | 915 Union St, Bangor, ME 04401-8602 | 2006-06-08 |
| Find all providers in BANGOR | ||||
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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.