Kathryn Mary Jolin, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

CNP111094 Issued in ME

Practice address

69 High St
Dover Foxcroft, ME 04426-1270

Phone

(207) 564-4110

Fax

(207) 564-4478

NPI assigned

May 25, 2012

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 1, 2022.

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1497015200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 HIGH ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261270",
            "telephone_number": "207-564-4110",
            "fax_number": "207-564-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 HIGH ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261270",
            "telephone_number": "207-564-4110",
            "fax_number": "207-564-4478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4526 Federal Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982032132",
            "country_code": "US",
            "telephone_number": "425-349-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOLIN",
        "first_name": "KATHRYN",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60525906",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP111094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Ingemi, LCPC-C
• Carol W Ippoliti, LCSW
• Henry Clifton Jao, MD
• Teresa M Jay, RN
• Lora J Jobe, MD
• Katahdin Valley Health Center
• Katahdin Valley Health Center
• Katahdin Valley Health Center
• Melissa Kearns, RN
• Christine Treworgy Kenerson, R.D.

• All providers in Dover Foxcroft, ME
• Psychiatric/Mental Health Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.