Individual provider Active NPI

Kathleen Truslow, N.P

  • Nurse Practitioner
  • Morrill, ME
National Provider Identifier
1306856745
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RO40324 Issued in ME
Practice address
29 Weymouth Rd
Morrill, ME 04952-5007
Phone
(207) 878-0094
Fax
(207) 878-0096
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RO40324 ME
Nurse Practitioner 363L00000X RO40324 ME Primary

Addresses

Primary practice location

29 Weymouth Rd
Morrill, ME 04952-5007

Mailing address

29 Weymouth Rd
Morrill, ME 04952-5007
Phone (207) 229-5541

Other practice location 1

222 Auburn St
Portland, ME 04103-6004
Phone (207) 828-4299

Other identifiers 3

IdentifierTypeStateIssuer
079207OtherMEANTHEM BLUE BEHAVIORAL HE
100057OtherMEANTHEM BLUE CROSS
253580000MedicaidME

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050819000606 ME Practitioner - Nurse Practitioner 5597795450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

29 Weymouth Rd
Morrill, ME 04952-5007
Phone (207) 878-0094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RO40324MEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Health Care, PC Psychiatric/Mental Health CurrentSince May 1, 2008 Accepting new patients
University of New England Psychiatric/Mental Health Past Accepting new patients
Jonathan Shill MD PH.D, LLC PastSince Sep 16, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kathleen.truslow.1@32793.direct.athenahealth.com

Organizations & group practices 3

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306856745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WEYMOUTH RD",
            "city": "MORRILL",
            "state": "ME",
            "postal_code": "049525007",
            "telephone_number": "207-229-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WEYMOUTH RD",
            "city": "MORRILL",
            "state": "ME",
            "postal_code": "049525007",
            "telephone_number": "207-878-0094",
            "fax_number": "207-878-0096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Auburn St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041036004",
            "country_code": "US",
            "telephone_number": "207-828-4299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUSLOW",
        "first_name": "KATHLEEN",
        "credential": "N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "RO40324",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "RO40324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE BEHAVIORAL HE",
            "identifier": "079207",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "100057",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253580000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrill, ME

Sources for this page

Verify at the official NPI Registry.