Bates College Health Center

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

License

R021539 Issued in ME

Legal business name

BATES COLLEGE HEALTH CENTER

Practice address

31 Campus Ave
Lewiston, ME 04240-6009

Phone

(207) 786-6199

Fax

(207) 786-8240

NPI assigned

May 21, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christy Tisdale, FNP

Title

Medical Director

Phone

(207) 786-6199

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kari Vanderhorn, LMT

  • Massage Therapist
  • Lewiston, ME
  • NPI 1982133054
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1013353739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1028",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042111028",
            "telephone_number": "207-777-5370",
            "fax_number": "207-777-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 CAMPUS AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406009",
            "telephone_number": "207-786-6199",
            "fax_number": "207-786-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATES COLLEGE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "TISDALE",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "207-786-6199",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "ME",
            "license": "R021539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Barry, FNP
• Jason Barschdorf, PA-C
• Elizabeth Barton
• Carl Eben Barus, M.D.
• Jessica Megan Basaldua, LMSW-CC
• Bates Mill Dermatology, P.L.L.C.
• Brooke L Beal, RD
• Pauline V. Beale, O.D.
• Lexi Jade Beals, CADC, LSW
• Kara Lee Beaule, LCPC-C

• Student Health Clinic/Center in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Student Health Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.