Individual provider Active NPI

Kathryn A Foley, FNPC

  • Nurse Practitioner
  • Bangor, ME
National Provider Identifier
1164913117
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP181131 Issued in ME
Practice address
6 Telcom Dr
Bangor, ME 04401-3072
Phone
(207) 947-0147
Fax
(207) 990-3365
NPI assigned
May 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP181131 ME Primary

Addresses

Primary practice location

6 Telcom Dr
Bangor, ME 04401-3072

Mailing address

PO Box 1599
Bangor, ME 04402-1599
Phone (207) 404-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180822001764 ME Practitioner - Nurse Practitioner 4486903523 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Penobscot Community Health Center CurrentSince Jul 26, 2018 Accepting new patients
Penobscot Community Health Center CurrentSince Jul 26, 2018 Accepting new patients
Penobscot Community Health Center Current Accepting new patients

Locations

304 Garland St
Bangor, ME 04401
Phone (207) 941-6230

1012 Union St
Ste 1
Bangor, ME 04401
Phone 2079455247407

143 5th St
Bangor, ME 04401
Phone (207) 941-6220

6 Telcom Dr
Fl 2
Bangor, ME 04401
Phone (207) 947-0147

1068 Union St
Bangor, ME 04401
Phone (207) 404-8181

885 Broadway
Bangor, ME 04401
Phone (207) 992-5500

6 Telcom Dr
Bangor, ME 04401
Phone (207) 941-2850

203 Stillwater Ave
Old Town, ME 04468
Phone (207) 404-8000

156 Oak St
Old Town, ME 04468
Phone (207) 217-1061

576 Stillwater Ave
Old Town, ME 04468
Phone (207) 404-8000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1164913117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021599",
            "telephone_number": "207-404-8200",
            "fax_number": "207-947-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TELCOM DR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013072",
            "telephone_number": "207-947-0147",
            "fax_number": "207-990-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP181131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.