Active NPI
Anette Poulin, PAC
- Physician Assistant
- Corinth, ME
National Provider Identifier
1508947698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA001068
- Practice address
- 492 Main St
Corinth, ME 04427-3273 - Phone
- (207) 285-3435
- Fax
- (207) 564-4514
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA001068 | ME | Primary |
Addresses
Primary practice location
492 Main St
Corinth, ME 04427-3273
Mailing address
492 Main St
Corinth, ME 04427-3273
Phone (207) 285-3435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA001068 | ME | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunbury Primary Care, P.a. | Physician Assistant | Past | Accepting new patients |
| Sunbury Primary Care, P.a. | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364774400000",
"number": "1508947698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "492 MAIN ST",
"city": "CORINTH",
"state": "ME",
"postal_code": "044273273",
"telephone_number": "207-285-3435",
"fax_number": "207-564-4514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "492 MAIN ST",
"city": "CORINTH",
"state": "ME",
"postal_code": "044273273",
"telephone_number": "207-285-3435",
"fax_number": "207-564-4514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POULIN",
"first_name": "ANETTE",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2013-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA001068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corinth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.