NPIMap

Individual provider Active NPI

Kristy M Laroche, APRN-CNP

  • Family Nurse Practitioner
  • Kennebunk, ME
National Provider Identifier
1083200117
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP231448 Issued in ME
Practice address
2 Livewell Dr
Kennebunk, ME 04043-6762
Phone
(467) 880-0207
NPI assigned
Dec 13, 2020
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 069039-23 NH
Family Nurse Practitioner 363LF0000X CNP231448 ME Primary

Addresses

Primary practice location

2 Livewell Dr
Kennebunk, ME 04043-6762

Mailing address

2 Livewell Dr
Kennebunk, ME 04043-6762
Phone (207) 467-8800

Other practice location 1

1601 Congress St
Portland, ME 04102-2102
Phone (207) 661-0100

Other names 1

  • Kristy Williams Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210126000294 NH Practitioner - Nurse Practitioner 9638583198
I20231117001320 ME Practitioner - Nurse Practitioner 9638583198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

1601 Congress St
Suite 1
Portland, ME 04102-2102
Phone (207) 661-0100

2 Livewell Dr
Kennebunk, ME 04043-6762
Phone (207) 467-8988

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Oct 9, 2023 Accepting new patients
Maine Medical Partners CurrentSince Oct 9, 2023 Accepting new patients
Maine Medical Partners Family Current Accepting new patients
Forefront Dermatology - New Hampshire, PLLC CurrentSince Jun 19, 2023 Accepting new patients
Maine Medical Partners CurrentSince Oct 9, 2023 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Family CurrentSince Oct 9, 2023 Accepting new patients

Locations

2 Livewell Dr
Kennebunk, ME 04043
Phone (207) 467-6900

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

750 Central Ave
Ste O
Dover, NH 03820
Phone (603) 431-5205

1 Hampton Rd
Unit 208
Exeter, NH 03833
Phone (603) 431-5205

330 Borthwick Ave
Ste 303
Portsmouth, NH 03801
Phone (603) 431-5205

Interoperability endpoints

  • Direct secure messaging: klaroche602180@direct.mmc.mainehealth.org
  • Direct secure messaging: kristy.laroche@forefrontdermatology.emadirect.md
  • Direct secure messaging: kristyl@seacoastdermnh.emadirect.md

Organizations & group practices 7

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.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1083200117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LIVEWELL DR",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436762",
            "telephone_number": "207-467-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LIVEWELL DR",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436762",
            "telephone_number": "467-880-0207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Congress St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041022102",
            "country_code": "US",
            "telephone_number": "207-661-0100",
            "fax_number": "207-661-8866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAROCHE",
        "first_name": "KRISTY",
        "middle_name": "M",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-13",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "069039-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP231448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "WILLIAMS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kennebunk, ME

Sources for this page

Verify at the official NPI Registry.