Marilyn L Michaud, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP81403 Issued in ME

Practice address

900 Broadway
Bangor, ME 04401-1900

Phone

(207) 907-3300

Fax

(207) 907-1923

NPI assigned

Jan 23, 2006

Last updated

May 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mandala Counseling and Creative Arts, LLC

  • Clinical Social Worker
  • Orono, ME
  • NPI 1891497368
  NPD (past)
• St. Joseph Ambulatory Care Inc

  dba St. Joseph Infusion Center

  • Medical Specialty Clinic/Center
  • Bangor, ME
  • NPI 1184678088
  NPD (past)
• Sunbury Primary Care, P.a.

  dba Orono Family Medicine

  • Family Medicine Physician
  • Orono, ME
  • NPI 1205915899
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1013987106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044011900",
            "telephone_number": "207-907-3300",
            "fax_number": "207-907-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044011900",
            "telephone_number": "207-907-3300",
            "fax_number": "207-907-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "MARILYN",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP81403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25700099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MHT-Vision Support Services LLC
• Maria Michailidou, MD
• Mark Philip Michalowski, RPH
• Justin Michaud
• Lindsay Michaud, OD
• Vincent E Michaud, M.D.
• Michele E. Spekhardt, DMD. P.a.
• Ryan Middleton, CADC6221
• Midlands Neurobehavioral Services, LLC (Npact)
• Ayman Mijalli, MD ANESTHESIOLOGIST

• Family Nurse Practitioner in Bangor, ME
• Providers in Bangor, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.