Organization Active NPI

All Star Foot Care

  • Nurse Practitioner
  • Winslow, ME
National Provider Identifier
1053179788
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
ALL STAR FOOT CARE
Doing business as
All Star Foot Care
Practice address
71 Halifax St
Winslow, ME 04901-6930
Phone
(207) 405-2510
Fax
(207) 481-9076
NPI assigned
Mar 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Jennifer Gaulin, NPNPI 1487086658
Title
Nurse Practitioner, Owner
Phone
(207) 478-3132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Podiatric Clinic/Center 261QP1100X
Primary Care Clinic/Center 261QP2300X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

71 Halifax St
Winslow, ME 04901-6930

Mailing address

71 Halifax St
Winslow, ME 04901-6930
Phone (207) 405-2510

Other identifiers 1

IdentifierTypeStateIssuer
1241240001MedicaidME

Other names 1

  • All Star Foot Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240619000554 ME Part B Supplier - Clinic/Group Practice 1759824774 Receives reassigned benefits from 1 practitioner
Practice locations: Camden, ME; Waterville, ME; Winslow, ME

National Provider Directory

National Provider Directory

Locations

200 N High St
Bridgton, ME 04009

119 Main St
Ste 1
Fairfield, ME 04937

21 Warren St
Hallowell, ME 04347
Phone (207) 622-5644

110 E Madison Rd
Madison, ME 04950

210 Country Club Rd
Oakland, ME 04963

179 Main St
Ste 214
Waterville, ME 04901

179 Main St
Ste 307
Waterville, ME 04901
Phone (207) 405-2510

71 Halifax St
Winslow, ME 04901
Phone (207) 249-6610

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1053179788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HALIFAX ST",
            "city": "WINSLOW",
            "state": "ME",
            "postal_code": "049016930",
            "telephone_number": "207-405-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HALIFAX ST",
            "city": "WINSLOW",
            "state": "ME",
            "postal_code": "049016930",
            "telephone_number": "207-405-2510",
            "fax_number": "207-481-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL STAR FOOT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "GAULIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "NURSE PRACTITIONER, OWNER",
        "authorized_official_telephone_number": "207-478-3132",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1241240001",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Star Foot Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "All Star Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winslow, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.