Active NPI
Lynn G. Howard, APRN CNP
- Family Nurse Practitioner
- South Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP81025
- Practice address
- 100 Foden Road, West
Suite 100
South Portland, ME 04106 - Phone
- (207) 523-3904
- Fax
- (207) 523-8588
- NPI assigned
- Jul 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP81025 | ME | Primary |
Addresses
Primary practice location
100 Foden Road, West
Suite 100
South Portland, ME 04106
Mailing address
100 Gannett Drive
Suite C
South Portland, ME 04106-5900
Phone (207) 828-0361
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258830099 | Medicaid | ME | |
| 30348011 | Medicaid | NH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP81025 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Past | Accepting new patients | |
| University of Maine System | Past | Accepting new patients |
Locations
15 Enterprise Dr
Augusta, ME 04330
Phone (207) 621-7500
107 First Park Dr
Oakland, ME 04963
Phone (207) 621-8700
10 Water St
Ste 202
Waterville, ME 04901
Phone (207) 873-9846
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1083949184
-
- Student Health Clinic/Center
- Gorham, ME
- NPI 1780020941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429574400000",
"number": "1184624397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GANNETT DRIVE",
"address_2": "SUITE C",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041065900",
"telephone_number": "207-828-0361",
"fax_number": "207-874-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FODEN ROAD, WEST",
"address_2": "SUITE 100",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "04106",
"telephone_number": "207-523-3904",
"fax_number": "207-523-8588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "LYNN",
"middle_name": "G.",
"credential": "APRN CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-29",
"last_updated": "2015-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP81025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258830099",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30348011",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.