MARY JANE WALTON (NPI# 1811512668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811512668 |
| Entity Type | Individual |
| Full Name | MARY JANE WALTON |
| Credential | FNP |
| Practice Address |
59 Bangor St Houlton ME 04730-1740 |
| Mailing Address |
529 S Patten Rd Patten ME 04765-3007 |
| Practice Telephone | 2075383700 |
| Practice Fax Number | 2075282595 |
| Mailing Telephone | 2075383700 |
| Mailing Fax Number | 2075282595 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP201051 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253443 | Mary Jean Walton | Marriage & Family Therapist | 400 Llewellyn Ave, Campbell, CA 95008-1967 | 2020-04-08 |
| 1548760606 | Mary Walton | Nurse Practitioner | 1578 Colorado Blvd Ste B, Los Angeles, CA 90041-1451 | 2018-02-15 |
| 1235349580 | Mary Katherine Walton | Internal Medicine | 820 Jordan St Ste 201, Shreveport, LA 71101-4518 | 2007-05-23 |
| 1629034723 | Mary Burgess Walton | Nurse Practitioner | 2020 16th St, Greeley, CO 80631-5158 | 2006-04-26 |
| 1225679954 | Mary Walton | Behavior Technician | 400 29th St Ste 204, Oakland, CA 94609-3547 | 2019-10-03 |
| 1336665959 | Mary Elizabeth Walton | Dietitian, Registered | 4011 Talbot Rd S, Renton, WA 98055-5773 | 2017-08-15 |
| 1336689033 | Mary A Walton | Case Manager/Care Coordinator | 551 N 28th West Ave, Tulsa, OK 74127-6139 | 2017-02-28 |
| 1518144203 | Mary R Walton | Physician Assistant | 33 College Hill Road, 29c, Warwick, RI 02886 | 2008-01-25 |
| 1033287438 | Mary Elizabeth Walton | Registered Nurse | 1425 Beavercreek Rd, Oregon City, OR 97045-4076 | 2006-12-01 |
| 1548356587 | Mary Denise Walton | Marriage & Family Therapist | 17822 Beach Blvd Ste 278, Huntington Beach, CA 92647-7180 | 2006-10-05 |
| 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 |
| 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 |
| 1073158697 | Taylor M Libby | 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700858354 | Dawn Mcginnis | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2006-02-07 |
| 1023622560 | Kaitlin Anne Koppel | Nurse Practitioner | 22 Hartford St, Houlton, ME 04730-1844 | 2020-09-02 |
| 1417579954 | Tania Godbout | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2020-05-07 |
| 1801311527 | Brownson Okechukwu Irondi | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2017-08-03 |
| 1356898019 | April Elizabeth Griseto | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2016-09-09 |
| 1538498670 | Joan Haines | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2009-12-21 |
| 1134385552 | Sheela Porter-smith | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2008-08-05 |
| 1093776361 | Linda Haines Self | Nurse Practitioner | 22 Hartford St, Houlton, ME 04730-1844 | 2006-03-28 |
| 1336111988 | Nancy Y Putnam | Nurse Practitioner | 22 Hartford St, Houlton, ME 04730-1844 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788852 | Kimberly Harvell | Nurse Practitioner | 37 Palmer Ln, Ste 3, Calais, ME 04619-1341 | 2020-10-20 |
| 1013515790 | Jana H Christman | Nurse Practitioner | 81 Medical Center Dr Ste 2150, Brunswick, ME 04011-2764 | 2020-10-14 |
| 1114539400 | Granite Hill Family Medicine LLC | Nurse Practitioner | 89 Water St, Hallowell, ME 04347-1477 | 2020-08-19 |
| 1073139465 | Jaclyn Kimberly Foraker | Nurse Practitioner | 885 Union St Ste 215, Bangor, ME 04401-3092 | 2020-06-22 |
| 1962023630 | Amy E Rousseau | Nurse Practitioner | 96 Campus Ave Ste 214, Lewiston Me, ME 04240-6019 | 2020-05-04 |
| 1952921488 | Amanda Rose Robbio | Nurse Practitioner | 244 Lakewood Rd, Skowhegan, ME 04950 | 2020-04-24 |
| 1114566650 | Sadie Garnache-poirier | Nurse Practitioner | 65 W Commercial St Ste 107, Portland, ME 04101-4789 | 2020-01-02 |
| 1902441629 | Jennifer Marie Colpitts | Nurse Practitioner | 1600 Congress St Ste B, Portland, ME 04102-2148 | 2019-11-18 |
| 1710529680 | Natasha Lynn Williamson | Nurse Practitioner | 63 Hurricane Rd, Gorham, ME 04038-2414 | 2019-10-11 |
| 1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
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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.