MR. ERIC K SHOAPS (NPI# 1790319457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790319457 |
Entity Type | Individual |
Full Name | MR. ERIC K SHOAPS |
Credential | NP |
Practice Address |
70 Main St Porter ME 04068-3527 |
Mailing Address |
16 Lane Ave Portland ME 04103-1212 |
Practice Telephone | 2076258126 |
Mailing Telephone | 6122396259 |
Enumeration Date | 2020-03-02 |
Last Update Date | 2020-03-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
CNP191323 | ME | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
70 MAIN ST |
City | PORTER |
State | ME |
Zip Code | 04068-3527 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770184269 | Melissa Beauregard | Family Medicine | 70 Main St, Porter, ME 04068-3527 | 2020-11-03 |
1588265979 | Rachelle C. Henry | Nurse Practitioner | 70 Main St, Porter, ME 04068-3527 | 2020-11-03 |
1093336869 | Amanda Marie Hoegen | Registered Nurse | 70 Main St, Porter, ME 04068-3527 | 2020-05-02 |
1922649417 | Lori A Lenart | Nurse Practitioner | 70 Main St, Porter, ME 04068-3527 | 2019-10-05 |
1215594387 | Christopher David Parent | Dentist | 70 Main St, Porter, ME 04068-3527 | 2019-05-23 |
1063974194 | Lindsay N Tremblay | Nurse Practitioner | 70 Main St, Porter, ME 04068-3527 | 2019-04-06 |
1114482916 | Jennifer Marie Drouin | Registered Nurse | 70 Main St, Porter, ME 04068-3527 | 2019-02-05 |
1780193235 | Sarah Petersen | Nurse Practitioner | 70 Main St, Porter, ME 04068-3527 | 2017-09-28 |
1902321102 | Ashley Lynn Pelletier | Nurse Practitioner | 70 Main St, Porter, ME 04068-3527 | 2017-08-08 |
1689101057 | Donna M Dodge | Dietitian, Registered | 70 Main St, Porter, ME 04068-3527 | 2017-05-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740411834 | April Marie Clark | Social Worker | 70 Main Street, Porter, ME 04068 | 2009-08-06 |
1396996567 | Richard M. Mcnamara | Physician Assistant | 70 Main Street, Porter, ME 04068 | 2008-10-07 |
1316004955 | Eileen M Kindl | Counselor | 70 Main Street, Porter, ME 04068 | 2007-01-02 |
1124182241 | Jeffrey Scott Krebs | Psychologist | 70 Main Street, Porter, ME 04068 | 2006-12-21 |
1912065343 | Judith Ann Bean | Social Worker | 70 Main Street, Porter, ME 04068 | 2006-12-05 |
1972678944 | Catherine M Duthie | Counselor | 70 Main Street, Porter, ME 04068 | 2006-11-22 |
1033523014 | Sacopee Valley Family Dentistry LLC | Clinic/Center | 38 Main St, Porter, ME 04068-3527 | 2014-06-17 |
1679606255 | Jonathan C. Cons | Dentist | 38 Main St, Porter, ME 04068-3527 | 2007-03-13 |
1740570407 | Jeri Lynn Dudics | Registered Nurse | 70 Dudics Mountain Rd, Porter, ME 04068-3562 | 2011-04-14 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407240930 | Housecall4u | Nurse Practitioner | 347 N Bend Rd, Surry, ME 04684-3309 | 2015-03-23 |
1427060847 | Cathy A Bradley | Nurse Practitioner | 521 Main Street, Presque Isle, ME 04769 | 2006-08-13 |
1467469841 | Patricia Thompson Leavitt | Nurse Practitioner | 1013 Narragansett Trl, Buxton, ME 04093-6607 | 2006-08-01 |
1366051666 | Lindsey Desrosier | Nurse Practitioner | 4 Main St, Van Buren, ME 04785-1009 | 2020-07-23 |
1255957007 | Kathryn Raymond | Nurse Practitioner | 23 North St, Presque Isle, ME 04769-2291 | 2020-06-17 |
1528609567 | Brandon Woodman Howlett | Nurse Practitioner | 23 North St, Presque Isle, ME 04769-2291 | 2019-10-01 |
1831751510 | Miriah Lee Deveau | Nurse Practitioner | 1 Va Ctr, Augusta, ME 04330-6719 | 2019-07-02 |
1326506395 | Christopher Curtis King | Nurse Practitioner | 29 Bowdoin St, Manchester, ME 04351-3554 | 2019-03-07 |
1992277008 | Gem Health & Wellness | Nurse Practitioner | 169 Ocean St Ste 104, South Portland, ME 04106-3636 | 2018-12-31 |
1689177867 | Amber Nicole Grissom | Nurse Practitioner | 302 Husson Ave Ste 1, Bangor, ME 04401-3373 | 2018-03-14 |
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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.