Active NPI
Vanessa Elizabeth McDougall, FNP
- Family Nurse Practitioner
- Caribou, ME
National Provider Identifier
1194030205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP101039
- Practice address
- 14 Sweden St Ste 203
Caribou, ME 04736-2125 - Phone
- (207) 994-8404
- NPI assigned
- Aug 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | AP101039 | ME | Primary |
Addresses
Primary practice location
14 Sweden St Ste 203
Caribou, ME 04736-2125
Mailing address
14 Sweden St Ste 203
Caribou, ME 04736-2125
Phone (207) 994-8404
Other practice location 1
163 Van Buren Rd
Caribou, ME 04736-3567
Phone (207) 498-3111
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP101039 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recover Together, Inc. | Family | Current | Accepting new patients |
| Recover Together, LLC | Family | Current | Accepting new patients |
Locations
Dept CH17590
Palatine, IL 60055
111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547
77 Park St
Rockland, ME 04841
Phone (207) 245-7654
Interoperability endpoints
- vanessa.mcdougall@70853079400452.direct.elationemr.com
Organizations & group practices 2
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": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1194030205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 SWEDEN ST STE 203",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047362125",
"telephone_number": "207-994-8404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 SWEDEN ST STE 203",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047362125",
"telephone_number": "207-994-8404"
}
],
"practiceLocations": [
{
"address_1": "163 Van Buren Rd",
"address_purpose": "LOCATION",
"city": "Caribou",
"state": "ME",
"postal_code": "047363567",
"country_code": "US",
"telephone_number": "207-498-3111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDOUGALL",
"first_name": "VANESSA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "AP101039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caribou, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.