Jodi Deabay, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN11334 Issued in ME

Practice address

30 Houlton St
Patten, ME 04765

Phone

(207) 538-7587

NPI assigned

Sep 7, 2016

Last updated

Sep 7, 2016By 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 1

Addresses

Other names 1

• Jodi Corneil 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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1164979134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 OXBOW RD",
            "city": "OXBOW",
            "state": "ME",
            "postal_code": "047643112",
            "telephone_number": "207-538-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HOULTON ST",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "04765",
            "telephone_number": "207-538-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEABAY",
        "first_name": "JODI",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "ME",
            "license": "LPN11334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "CORNEIL",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chandler Bay Group, Inc (Mt Heights Healthcare Facility)
• Sheila Ciappetta
• Carrie A. Cosman, LPN
• Rebecca Cropley, CMA
• Jeri L Davis
• Linda A Depew, LMT
• Shellie M Dill, RN
• Sherri Downes
• Sandra Duquet, R.N.
• Tasha Dwyer

• Licensed Practical Nurse in Patten, ME
• Providers in Patten, ME by specialty
• Licensed Practical Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.