Active NPI
Natacha J Sovetsky-Chabot, NP
- Family Nurse Practitioner
- East Waterboro, ME
National Provider Identifier
1306078233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP091049
- Practice address
- 10 Goodall Dr
Suite 200
East Waterboro, ME 04030-5214 - Phone
- (207) 490-7970
- Fax
- (204) 247-6314
- NPI assigned
- Aug 11, 2009
- 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 | AP091049 | ME | Primary |
Addresses
Primary practice location
10 Goodall Dr
Suite 200
East Waterboro, ME 04030-5214
Mailing address
10 Goodall Dr
Suite 200
East Waterboro, ME 04030-5214
Phone (207) 490-7970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 434893099 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP091049 | ME | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1306078233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 GOODALL DR",
"address_2": "SUITE 200",
"city": "EAST WATERBORO",
"state": "ME",
"postal_code": "040305214",
"telephone_number": "207-490-7970",
"fax_number": "204-247-6314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 GOODALL DR",
"address_2": "SUITE 200",
"city": "EAST WATERBORO",
"state": "ME",
"postal_code": "040305214",
"telephone_number": "207-490-7970",
"fax_number": "204-247-6314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOVETSKY-CHABOT",
"first_name": "NATACHA",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-11",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "AP091049",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "434893099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Waterboro, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.