KATHRYN LANDON-MALONE (NPI# 1801872494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801872494 |
Entity Type | Individual |
Full Name | KATHRYN LANDON-MALONE |
Credential | PNP-C |
Practice Address |
100 Brickhill Ave Sutie 304 South Portland ME 04106-1999 |
Mailing Address |
100 Brickhill Ave Suite 304 South Portland ME 04106-1999 |
Practice Telephone | 2077614700 |
Practice Fax Number | 2077614744 |
Mailing Telephone | 2077614700 |
Mailing Fax Number | 2077614744 |
Enumeration Date | 2005-12-16 |
Last Update Date | 2014-06-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R038746 | ME | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
100 BRICKHILL AVE SUTIE 304 |
City | SOUTH PORTLAND |
State | ME |
Zip Code | 04106-1999 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609877828 | Wayne D Westland | Physician Assistant | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2005-08-10 |
1689217903 | Natalia Valentinovna Tonseth | Nurse Practitioner | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2019-10-18 |
1427691765 | Sarah Melissa Carter | Registered Nurse | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2019-10-18 |
1801318654 | Abdul Rahman Qani | Physician Assistant | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2017-07-13 |
1366989824 | Moira Burke | Dietitian, Registered | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2017-01-23 |
1639622756 | Courtney Myles | Nurse Practitioner | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2016-07-25 |
1700258779 | Portland Community Health Center | Clinic/Center | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2015-10-29 |
1255703955 | Christopher Nilsson | Physician Assistant | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2015-10-21 |
1790156792 | Deirdre Sulka-meister Fnp LLC | Point of Service | 100 Brickhill Ave, Ste 304, South Portland, ME 04106-1999 | 2015-10-15 |
1417350901 | Melissa N Libby Fnp LLC | Point of Service | 100 Brickhill Ave, Suite 304, South Portland, ME 04106-1999 | 2014-09-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
Find all providers in zip 04106 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619527751 | Lenore Chesnutt | Nurse Practitioner | 778 Main St, South Portland, ME 04106-5447 | 2019-09-19 |
1245671205 | Rachel Lyn Baird | Nurse Practitioner | 100 Foden Rd, West, Suite 303, South Portland, ME 04106-2327 | 2013-07-08 |
1124189790 | Karen Weiss | Nurse Practitioner | 100 Foden Rd, West, Site 303, South Portland, ME 04106-2327 | 2006-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932503133 | Meryl Mccarthy | Nurse Practitioner | 417 State Street, Suite 310, Emmc - Pediatric Specialty Clinics, Bangor, ME 04401 | 2014-10-16 |
1063648079 | Sarah-louise Elisabeth Corson | Nurse Practitioner | 6 Pine Point Rd, Scarborough, ME 04074-9201 | 2009-06-04 |
1407050164 | Melissa Diana Mckenzie | Nurse Practitioner | 37 Palmer St Ste 1, Calais, ME 04619-1341 | 2007-06-14 |
1942403266 | Webber Hospital Association | Nurse Practitioner | 473 Alfred St, Biddeford, ME 04005-9447 | 2007-06-06 |
1578785101 | Jacqueline M Campbell | Nurse Practitioner | 473 Alfred Road, Biddeford, ME 04005 | 2007-05-03 |
1699858266 | Nathaniel Todd Lesser | Nurse Practitioner | 518 Us Route 1, Kittery, ME 03904-2500 | 2006-10-24 |
1053320804 | Karen Elizabeth Caines | Nurse Practitioner | 96 Falmouth St, Portland, ME 04104-9300 | 2006-08-07 |
1427077312 | Ronald E. Cormier | Nurse Practitioner | 55 Reynolds Road, Brooks, ME 04921-0159 | 2006-07-19 |
1649209982 | Joanne M Perry | Nurse Practitioner | 901 Washington Ave Ste 100, Portland, ME 04103-2842 | 2006-06-30 |
1558324772 | Jonathan Libby | Nurse Practitioner | 100 Campus Ave Apt 203, Lewiston, ME 04240-6079 | 2006-04-10 |
Find all providers with the same taxonomy |
City | SOUTH PORTLAND |
Zip Code | 04106 |
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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.