Active NPI
Natalie Poulin, LMT
- Specialist
- Gorham, ME
National Provider Identifier
1306277272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MT5192
- Practice address
- 88 State St Ste 301
Gorham, ME 04038-1173 - Phone
- (207) 894-4913
- Fax
- (207) 648-4512
- NPI assigned
- Dec 3, 2013
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MT5192 | ME | Primary |
Addresses
Primary practice location
88 State St Ste 301
Gorham, ME 04038-1173
Mailing address
88 State St Ste 301
Gorham, ME 04038-1173
Phone (207) 894-4913
Other practice location 1
8 Elm St
Suite 1
Gorham, ME 04038-1506
Phone (207) 839-6800
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT5192 | ME | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1306277272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 STATE ST STE 301",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381173",
"telephone_number": "207-894-4913",
"fax_number": "207-648-4512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 STATE ST STE 301",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381173",
"telephone_number": "207-894-4913",
"fax_number": "207-648-4512"
}
],
"practiceLocations": [
{
"address_1": "8 Elm St",
"address_2": "Suite 1",
"address_purpose": "LOCATION",
"city": "Gorham",
"state": "ME",
"postal_code": "040381506",
"country_code": "US",
"telephone_number": "207-839-6800",
"fax_number": "207-839-6801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POULIN",
"first_name": "NATALIE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ME",
"license": "MT5192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gorham, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.