ELIZABETH SHERLOCK (NPI# 1952497430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952497430 |
| Entity Type | Individual |
| Full Name | ELIZABETH SHERLOCK |
| Credential | PNP |
| Practice Address |
582 Roosevelt Trail Windham ME 04075 |
| Mailing Address |
301c Us Route 1 Scarborough ME 04074-9701 |
| Practice Telephone | 2078293233 |
| Practice Fax Number | 2078930752 |
| Mailing Telephone | 2073968600 |
| Mailing Fax Number | 2073968632 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
CNP81664 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 254690099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629230669 | Elizabeth A. Sherlock | Psychologist | 75 Mdg/sghc, 7321 11th Street, Bldg. 570, Hill Afb, UT 84056 | 2008-07-01 |
| 1669610531 | Elizabeth M Sherlock | Physician Assistant | 2501 N Orange Ave Ste 240, Orlando, FL 32804-4641 | 2009-01-29 |
| Street Address |
582 ROOSEVELT TRAIL |
| City | WINDHAM |
| State | ME |
| Zip Code | 04075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063505782 | Stephen M Donnelly | Pediatrics | 582 Roosevelt Trail, Windham, ME 04062-4904 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295624 | Melissa Foss | Pharmacist | 797 Roosevelt Trl, Windham, ME 04062-5341 | 2020-11-06 |
| 1801495650 | Meghan Bagdovitz | Speech-Language Pathologist | 112b Lowell Rd, Windham, NH 03087-1860 | 2020-10-22 |
| 1326647470 | Blaise Ishimwe | Community Health Worker | 3 Cobalt Ct # Pvt, Windham, ME 04062-4691 | 2020-10-20 |
| 1477151645 | Emily Orciani | Specialist/Technologist | 48 Marblehead Rd, Windham, NH 03087-2344 | 2020-10-11 |
| 1801493168 | Christine Mcnulty Grant | Counselor | 17 Victoria Ln, Windham, ME 04062-4172 | 2020-10-08 |
| 1942816996 | Amorette Harbeck Howland O'brien | Marriage & Family Therapist | 25 Indian Rock Rd Ste 12, Windham, NH 03087-1691 | 2020-09-16 |
| 1497368492 | Dale A Tuccelli | Massage Therapist | 58 Range Rd Ste R03, Windham, NH 03087-2026 | 2020-08-28 |
| 1023620507 | Kayla Maloney | Nurse Practitioner | 1 Stonehedge Rd, Windham, NH 03087-1251 | 2020-08-17 |
| 1821606153 | Jenae M Johnson | Home Health Aide | 9539 Greenmeadow Rd Apt C, Windham, OH 44288-1319 | 2020-07-22 |
| 1245848472 | Meghan Sue Fullarton | Physician Assistant | 30 Tate Ln, Windham, ME 04062-4263 | 2020-07-14 |
| Find all providers in WINDHAM | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023620507 | Kayla Maloney | Nurse Practitioner | 1 Stonehedge Rd, Windham, NH 03087-1251 | 2020-08-17 |
| 1144245028 | Maine Medical Partners | Nurse Practitioner | 584 Roosevelt Trl, Windham, ME 04062-4904 | 2006-07-13 |
| 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 | ||||
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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.