Christina Rose Theriault, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

1538245097 Issued in ME

Practice address

197 E Main St
Fort Kent, ME 04743-1409

Phone

(207) 834-1560

Fax

(207) 834-1561

NPI assigned

Oct 27, 2006

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

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Planning Association of Maine IncGroup PAC ID 6800037581, 13 clinicians

Northern Maine Medical CenterGroup PAC ID 8426952987, shared by 10 NPIs, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Maine Medical Center Hospital, Fort Kent, ME, CCN 201317

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christina.perry.1@3508.direct.athenahealth.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/7722ef4c-2455-48ad-a4fa-814cb1ac7718/

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.

• Family Planning Association of Maine Inc

  • Non-Surgical Family Planning Clinic/Center
  • Augusta, ME
  • NPI 1477768216
  Medicare reassignment Care Compare group NPD
• Family Planning Association of Maine Inc

  • Rural Health Clinic/Center
  • Belfast, ME
  • NPI 1679816656
  NPD
• Northern Maine Medical Center

  • Rural Health Clinic/Center
  • Fort Kent, ME
  • NPI 1053345546
  NPD (past)
• Northern Maine Medical Center

  • Critical Access Hospital
  • Fort Kent, ME
  • NPI 1568465144
  NPD (past)
• Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

  • Obstetrics & Gynecology Physician
  • Boston, MA
  • NPI 1518908136
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northern Maine Medical Center

  • Multi-Specialty Clinic/Center
  • Fort Kent, ME
  • NPI 1144073297

  Hospital

  Care Compare affiliation
• Northern Maine Medical Center

  • Multi-Specialty Clinic/Center
  • Madawaska, ME
  • NPI 1285487330

  Hospital

  Care Compare affiliation
• Northern Maine Medical Center

  • Critical Access Hospital
  • Fort Kent, ME
  • NPI 1568465144
  Care Compare affiliation

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1538245097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043320587",
            "telephone_number": "207-509-3271",
            "fax_number": "207-660-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 E MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431409",
            "telephone_number": "207-834-1560",
            "fax_number": "207-834-1561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 Market St",
            "address_purpose": "LOCATION",
            "city": "Fort Kent",
            "state": "ME",
            "postal_code": "047431410",
            "country_code": "US",
            "telephone_number": "207-402-3220 x1257",
            "fax_number": "207-834-1188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THERIAULT",
        "first_name": "CHRISTINA",
        "middle_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ME",
            "license": "1538245097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jubal S Stewart, DDS
• Amelia Stoliker
• Brent Stoliker, OD
• Tyler James Stoliker, FNP-C
• Andrea Sulavik, ATC
• Nicole Marie Theriault, RN CARE MANAGER
• Lynn A. Thibeault-Lajoie
• Emily Catherine Thibeault, RN-BSN
• Timothy D Rioux
• Togus Vamc

• Women's Health Nurse Practitioner in Fort Kent, ME
• Providers in Fort Kent, ME by specialty
• Women's Health Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.