Nicola J Weatherbee, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LC4564 Issued in ME

Practice address

28 Congress St
Rumford, ME 04276-2092

Phone

(207) 364-1610

Fax

(207) 364-1611

NPI assigned

Sep 21, 2009

Last updated

Aug 31, 2015By 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 2

Addresses

Other identifiers 1

Other names 1

• Nicola J Cannell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1073847299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CONGRESS ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762092",
            "telephone_number": "207-364-1610",
            "fax_number": "207-364-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CONGRESS ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762092",
            "telephone_number": "207-364-1610",
            "fax_number": "207-364-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERBEE",
        "first_name": "NICOLA",
        "middle_name": "J",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC4564",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL4368",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINECARE",
            "identifier": "433007599",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLA",
            "last_name": "CANNELL",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayla Marie Thorpe, RN
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• Lisa Torgersen, MD
• Mary Wainwright, CADC
• Walgreen Eastern Co Inc (Walgreens #17159)
• Jeremy Webster, CAC
• Maybrie Weisman
• Western Maine Community Action
• Sarah Wiley, MS, OTR/L
• Windy Williams, D.D.S.

• Addiction (Substance Use Disorder) Counselor in Rumford, ME
• Providers in Rumford, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.