Louise S Couillard, PT ASSISTANT

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PTA0064 Issued in ME

Practice address

220 Kennedy Memorial Dr
Waterville, ME 04901-4526

Phone

(207) 873-5125

Fax

(207) 859-8905

NPI assigned

May 9, 2008

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1417124389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 WASHINGTON ST",
            "city": "OAKLAND",
            "state": "ME",
            "postal_code": "049635249",
            "telephone_number": "207-649-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014526",
            "telephone_number": "207-873-5125",
            "fax_number": "207-859-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUILLARD",
        "first_name": "LOUISE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PT ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": "PTA0064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Caregiving East LLC
• Nicole Costello, PA-C
• Christinalyn Cote, CADC
• Lynn M Cote, FNP-BC
• Victoria Ann Cote, COTA/L
• Barbara Coulombe
• Counseling With Care, LLC
• Nancy Couture, MA
• Barbara P Covey, MD
• Ryan J. Creighton, D.M.D.

• Skilled Nursing Facility in Waterville, ME
• Providers in Waterville, ME by specialty
• Skilled Nursing Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.