Individual provider Active NPI

Theresa Ann Wing

  • Addiction (Substance Use Disorder) Registered Nurse
  • Lewiston, ME
National Provider Identifier
1043887375
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
RN45167 Issued in ME
Practice address
18 Mollison Way
Lewiston, ME 04240-5811
Phone
(207) 312-6860
NPI assigned
Jun 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN45167 ME Primary

Addresses

Primary practice location

18 Mollison Way
Lewiston, ME 04240-5811

Mailing address

PO Box 182
Lisbon Falls, ME 04252-0182
Phone (207) 754-0411

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address twing@hcrcenters.com
Direct Messaging Address twing@hcrcenters.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN45167MEMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1043887375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182",
            "city": "LISBON FALLS",
            "state": "ME",
            "postal_code": "042520182",
            "telephone_number": "207-754-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MOLLISON WAY",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405811",
            "telephone_number": "207-312-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WING",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "RN45167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twing@hcrcenters.com",
            "affiliation": "N",
            "address_1": "18 Mollison Way",
            "city": "Lewiston",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042405811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twing@hcrcenters.com",
            "affiliation": "N",
            "address_1": "18 Mollison Way",
            "city": "Lewiston",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042405811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.