Jacqueline Teele, CCP

Primary specialty

PerfusionistTaxonomy code 242T00000X

License

249032

Practice address

489 State St
Bangor, ME 04401-6616

Phone

(207) 973-7000

NPI assigned

Jul 14, 2026

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1457270373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 KATAHDIN ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013739",
            "telephone_number": "262-330-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016616",
            "telephone_number": "207-973-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEELE",
        "first_name": "JACQUELINE",
        "credential": "CCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": null,
            "license": "249032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leeanne Taylor, MS, LADC
• Maria Elizabeth Taylor, LMSW-CC
• Mary E Taylor, PA-C
• Mary Tedesco-Schneck, PNPC
• Ledor Friday Teekate
• Nina Tekelenburg
• Lucus Temple, LMSW-CC
• Diane Alicia Tennies, PH.D.
• Manika Thakur, MD
• Jessica Thayer, DMD

• Perfusionist in Bangor, ME
• Providers in Bangor, ME by specialty
• Perfusionist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.