Organization Active NPI

Apotheosis Health

  • Primary Care Clinic/Center
  • Bangor, ME
National Provider Identifier
1497627657
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
APOTHEOSIS HEALTH
Practice address
4 Union PLZ Ste 3
Bangor, ME 04401-4881
Phone
(207) 952-8784
Fax
(207) 543-4502
NPI assigned
Sep 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Alessandra TuttleNPI 1649892571
Title
FNP
Phone
(207) 952-8784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4 Union PLZ Ste 3
Bangor, ME 04401-4881

Mailing address

4 Union PLZ Ste 3
Bangor, ME 04401-4881
Phone (207) 952-8784

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D2324769Apotheosis Health4 Union St, Suite 3, Bangor, ME 04401Certificate of waiverJun 1, 2027

National Provider Directory

National Provider Directory

Locations

4 Union Plz
Ste 3
Bangor, ME 04401
Phone (207) 952-8784

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1497627657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 UNION PLZ STE 3",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014881",
            "telephone_number": "207-952-8784",
            "fax_number": "207-543-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 UNION PLZ STE 3",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014881",
            "telephone_number": "207-952-8784",
            "fax_number": "207-543-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHEOSIS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "ALESSANDRA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "207-952-8784"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.