TAMMY FORTIER (NPI# 1790725273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790725273 |
| Entity Type | Individual |
| Full Name | TAMMY FORTIER |
| Credential | N.P. |
| Practice Address |
59 Bangor St Houlton ME 04730-1740 |
| Mailing Address |
Po Box 500 Patten ME 04765-0500 |
| Practice Telephone | 2075282285 |
| Practice Fax Number | 2075282880 |
| Mailing Telephone | 2075282285 |
| Mailing Fax Number | 2075282880 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2016-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R048589 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | HARVARD PILGRAM | P45527 | 01 |
| ME | ANTHEM NUMBER | 047805 | 01 |
| ME | 282780099 | 05 | |
| ME | CIGNA | 4961926001 | 01 |
| ME | FEDERAL W/C GROUP | 119411700 | 01 |
| ME | AETNA GROUP | 144828 | 01 |
| ME | NHIC GROUP PTAN | 203814 | 01 |
| Street Address |
59 BANGOR ST |
| City | HOULTON |
| State | ME |
| Zip Code | 04730-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700858354 | Dawn Mcginnis | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2006-02-07 |
| 1457950404 | Jessica R Hemingway | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2020-10-21 |
| 1154936912 | Jamieson F Romanelli | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2020-09-09 |
| 1811512668 | Mary Jane Walton | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2020-06-08 |
| 1942822234 | Jessica C Porter | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2020-05-11 |
| 1417579954 | Tania Godbout | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2020-05-07 |
| 1619597804 | Keri Louise Bennett | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2020-04-17 |
| 1922643246 | Jamie M Mccarthy | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2019-11-11 |
| 1568007185 | Desiree A Deprey | Nurse's Aide | 59 Bangor St, Houlton, ME 04730-1740 | 2019-11-07 |
| 1275178899 | Jayde N Stover | Nurse's Aide | 59 Bangor St, Houlton, ME 04730-1740 | 2019-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568924322 | Sarah Lee Lynds | Occupational Therapy Assistant | 20 Harford St, Houlton, ME 04730 | 2019-04-02 |
| 1518267715 | Jill Forest | Case Manager/Care Coordinator | 147 Hodgdon Mills Road, Hodgdon, ME 04730 | 2010-10-22 |
| 1689989097 | Miriam Carter | Speech-Language Pathologist | 65 South St., Rsu #29, Houlton, ME 04730 | 2010-08-10 |
| 1821296708 | Carl Malcolm Tingley | Physical Therapy Assistant | 342 Mcsheffery Road, Houlton, ME 04730 | 2007-07-03 |
| 1386847804 | Jennifer Ann Gooley | Physical Therapy Assistant | 94 Militay St., Madigan Estates, Holton, ME 04730 | 2007-06-11 |
| 1386783173 | Bruce Merrill Harvey | Chiropractor | 22 B Road, Houlton, ME 04730 | 2007-02-06 |
| 1225124050 | Houlton Band of Maliseet Indians | Clinic/Center | 12 Clover Circle, Houlton, ME 04730 | 2006-10-05 |
| 1205929171 | Donald P Woods | Dentist | 88 Mcsheffery Rd, Houlton, ME 04730 | 2006-10-02 |
| 1578665485 | Donald G Brushett | Family Medicine | 59 Bangor Street, Katahdin Valley Health Center, Houlton, ME 04730 | 2006-09-01 |
| 1518463470 | A New Start LLC | Social Worker | 22 North Street, Houiton, ME 04730 | 2018-03-31 |
| Find all providers in zip 04730 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309652 | Dorothy Elizabeth Zirkle | Nurse Practitioner | 66 Bramhall St Ste Gi, Portland, ME 04102-3344 | 2019-07-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1669742284 | Yvonne A Peabbles | Nurse Practitioner | 665 Saco St, 28, Westbrook, ME 04092-2023 | 2012-01-12 |
| 1891933677 | Sarah Katherine Adams | Nurse Practitioner | 99 Campus Ave Ste 201, Lewiston, ME 04240-6045 | 2009-02-02 |
| 1659536662 | Michelle Suzanne Morgan | Nurse Practitioner | 4 Glen Cove Dr Ste 102, Rockport, ME 04856-4236 | 2008-07-20 |
| 1669595369 | Michael A Mckay | Nurse Practitioner | 22 Bramball Street- Opd Clinic, Maine Medical Center, Portland, ME 04102 | 2007-04-09 |
| 1487710505 | Allison Mina Freeman Ainsworth | Nurse Practitioner | 11 Harmony Ln, Fort Fairfield, ME 04742-3354 | 2007-01-01 |
| 1720149412 | Dawn M Murphy | Nurse Practitioner | 4 White St, Rockland, ME 04841-2953 | 2006-12-13 |
| 1922192871 | Mary Sloan | Nurse Practitioner | 23 Wells St., North Berwick, ME 03906-5533 | 2006-10-03 |
| 1003917501 | Nancy A Porr | Nurse Practitioner | 4 Horton Place, Suite 101, Topsham, ME 04086 | 2006-09-26 |
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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.