Active NPI
Kathleen Truslow, N.P
- Nurse Practitioner
- Morrill, ME
National Provider Identifier
1306856745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RO40324
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079207 | Other | ME | ANTHEM BLUE BEHAVIORAL HE |
| 100057 | Other | ME | ANTHEM BLUE CROSS |
| 253580000 | Medicaid | ME |
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RO40324 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Health Care, PC | Psychiatric/Mental Health | Current | Accepting new patients |
| University of New England | Psychiatric/Mental Health | Past | Accepting new patients |
| Jonathan Shill MD PH.D, LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Morrill, ME
- NPI 1215107644
-
- Family Medicine Physician
- Kennebunk, ME
- NPI 1477987683
-
- Family Medicine Physician
- Biddeford, ME
- NPI 1699752055
Psychiatric/Mental Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.