Lynne Marie Pelletier, RN-BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN24451 Issued in ME

Practice address

3 Mountainview Dr
Fort Kent, ME 04743-1614

Phone

(207) 444-5973

Fax

(207) 444-5520

NPI assigned

Aug 31, 2015

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

Other identifiers 1

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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1477920080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "EAGLE LAKE",
            "state": "ME",
            "postal_code": "047390309",
            "telephone_number": "207-444-5973",
            "fax_number": "207-444-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MOUNTAINVIEW DR",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431614",
            "telephone_number": "207-444-5973",
            "fax_number": "207-444-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "LYNNE",
        "middle_name": "MARIE",
        "credential": "RN-BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN24451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE NURSING LICENSE",
            "identifier": "RN24451",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark W. Overton, M.D.
• Savannah Paradis-Hamilton, OTR/L
• Christa Pelletier, O.T.
• Lana M Pelletier, L.C.S.W.
• Lisa E. Pelletier, RNFA
• Megan K Pelletier, PHARMD
• Renee Pelletier, AGNP-C
• Sarah Patricia Pelletier, CNP
• Sherrie Lee Pelletier, RN, BSN, CLC
• Maisie Marie Plourde, PMHNP-BC

• Registered Nurse in Fort Kent, ME
• Providers in Fort Kent, ME by specialty
• Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.