KATHRYN LANDON-MALONE


Address: 100 Brickhill Ave, Sutie 304, South Portland, ME 04106-1999
Phone: 2077614700

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
R038746 ME Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 100 BRICKHILL AVE
SUTIE 304
City SOUTH PORTLAND
State ME
Zip Code 04106-1999

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City SOUTH PORTLAND
Zip Code 04106

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Dataset Information

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.

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