Jennifer Lee Lakis, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

1999 Issued in ME

Practice address

14 Maine St # 14
Brunswick, ME 04011-2049

Phone

(207) 798-9677

Fax

(207) 406-2029

NPI assigned

Jun 27, 2008

Last updated

Apr 16, 2015By 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

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Osteopathic Manipulative Medicine

Education

University of New England, College of Osteo Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26516/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: jennifer.lakis.1@26516.direct.athenahealth.com

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

• Midcoast Integrative Healthcare

  dba Jennifer Lakis, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Brunswick, ME
  • NPI 1952647901
  Medicare reassignment NPD Authorized official
• Hospital Osteopathic Manipulative Medicine PC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Portland, ME
  • NPI 1144706615
  Medicare reassignment NPD
• Hospital Manipulative Service PA

  • Neuromusculoskeletal Medicine & OMM Physician
  • Harrison, ME
  • NPI 1508978248
  NPD (past)
• Osteopathic Healthcare of Maine, P.a.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Falmouth, ME
  • NPI 1215154356
  NPD (past)

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1285896514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAINE ST # 14",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112049",
            "telephone_number": "207-798-9677",
            "fax_number": "207-406-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAINE ST # 14",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112049",
            "telephone_number": "207-798-9677",
            "fax_number": "207-406-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKIS",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "1999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Keith Laclair, MD
• Nathan Brian Lafevers, MD
• Brenten Laffely
• Elyse Jodoin Lafond, MD
• Hilary Laforge, OTR/L
• Lamey Wellehan Inc
• Kacey Lane, PSY.D.
• Megan Elizabeth Lapointe, O.D.
• Paul J Laprad, MD
• Marian B. Laroche, FNP-C

• Neuromusculoskeletal Medicine & OMM Physician in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.