Timothy R. Lentz, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R023531 Issued in ME

Practice address

23 Wabanaki Way
Indian Island, ME 04468-1252

Phone

(207) 817-7400

Fax

(207) 817-7459

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Down East Orthopedic Assoc PA

  • Specialist
  • Bangor, ME
  • NPI 1194763110
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291939200000",
    "number": "1457427841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WABANAKI WAY",
            "city": "INDIAN ISLAND",
            "state": "ME",
            "postal_code": "044681252",
            "telephone_number": "207-817-7400",
            "fax_number": "207-817-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WABANAKI WAY",
            "city": "INDIAN ISLAND",
            "state": "ME",
            "postal_code": "044681252",
            "telephone_number": "207-817-7400",
            "fax_number": "207-817-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTZ",
        "first_name": "TIMOTHY",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "R023531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED FNP",
            "identifier": "023531",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna L Harris
• Benjamin Walter Huerth, MD
• Indian Island School
• Alexis Audrey Jones, LCPC, CADC
• Susan B. Judson-Preble, RDH
• Dale E Lolar, LADC
• Ila Mae, BSN RN
• Nicholas Steven Martinez, M.A., CCC-SLP
• Andrea J. Mietkiewicz, RN
• Tanya M Miller, RN

• Family Nurse Practitioner in Indian Island, ME
• Providers in Indian Island, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.