Individual provider Active NPI

Patricia Arlene Kittredge, FNP

  • Family Nurse Practitioner
  • Gray, ME
National Provider Identifier
1467650457
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP91009 Issued in ME
Practice address
6 Turnpike Acres Rd Ste 2
Gray, ME 04039-9432
Phone
(207) 657-1165
Fax
(207) 657-1162
NPI assigned
Jul 11, 2007
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X CNP091009 ME
Family Nurse Practitioner 363LF0000X CNP91009 ME Primary

Addresses

Primary practice location

6 Turnpike Acres Rd Ste 2
Gray, ME 04039-9432

Mailing address

PO Box 304
Gray, ME 04039-0304
Phone (207) 657-1165

Other names 1

  • Patricia Arlene Hutchins Former name

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
I20090423000380 ME Practitioner - Nurse Practitioner 2062505050 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Gray Urgent Care LLCGroup PAC ID 0446647747, 7 clinicians

Practice addresses (Care Compare)

6 Turnpike Acres Rd
Gray, ME 04039-9432
Phone (207) 657-1165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP091009MEMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Mar 30, 2009 Accepting new patients
Gray Urgent Care LLC Family CurrentSince Apr 1, 2022 Accepting new patients
Bridgton Hospital CurrentSince Jul 21, 2012 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Feb 11, 2013 Accepting new patients
Bridgton Hospital CurrentSince Jul 21, 2012 Accepting new patients
Central Maine Medical Center CurrentSince Mar 30, 2009 Accepting new patients
Gray Family Vision Center, P.a. CurrentSince Apr 1, 2022 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Feb 11, 2013 Accepting new patients

Locations

791 Turner St
#2
Auburn, ME 04210
Phone (207) 330-3900

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

6 Turnpike Acres Rd
Gray, ME 04039
Phone (207) 657-1165

6 Turnpike Acres Rd
#2
Gray, ME 04039
Phone (207) 251-1177

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

364 Main St
Lewiston, ME 04240
Phone (207) 795-5646

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

105 Topsham Fair Mall Rd
Unit 8
Topsham, ME 04086
Phone (207) 798-6300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26504/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: patricia.kittredge.1@26504.direct.athenahealth.com
  • Direct secure messaging: phutchins293539@direct.mmc.mainehealth.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1467650457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040390304",
            "telephone_number": "207-657-1165",
            "fax_number": "207-657-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TURNPIKE ACRES RD STE 2",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040399432",
            "telephone_number": "207-657-1165",
            "fax_number": "207-657-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTREDGE",
        "first_name": "PATRICIA",
        "middle_name": "ARLENE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ME",
            "license": "CNP091009",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP91009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "HUTCHINS",
            "middle_name": "ARLENE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gray, ME

Sources for this page

Verify at the official NPI Registry.