Tatsiana Fields, OT
Individual provider Active NPI Specialist · Etna, ME
NPI 1104371772 · NPPES record last updated Aug 23, 2016
Key facts
- NPI
- 1104371772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- OA3191 (ME)
- Practice address
- 158 Old County Rd
Etna, ME 04434-3814 - Phone
- (207) 631-5152
- NPI assigned
- Aug 23, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA3191 | ME | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| F.I.N.D Inc. | Specialist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OA3191 | ME | Yes |
Addresses
Primary practice location
158 Old County Rd
Etna, ME 04434-3814
Mailing address
158 Old County Rd
Etna, ME 04434-3814
Phone (207) 631-5152
Other providers in Etna, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.