Martha Weddell, PMH-NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R024076 Issued in ME

Practice address

263 State St Ste 23
Bangor, ME 04401-5438

Phone

(207) 945-3615

Fax

(207) 945-3444

NPI assigned

Dec 11, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

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.

• Sweetser

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saco, ME
  • NPI 1538122445
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609936715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 STATE ST STE 23",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015438",
            "telephone_number": "207-945-3615",
            "fax_number": "207-945-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 STATE ST STE 23",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015438",
            "telephone_number": "207-945-3615",
            "fax_number": "207-945-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDDELL",
        "first_name": "MARTHA",
        "credential": "PMH-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "R024076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "100028",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer W Weaver, LCSW
• Corey Webb, PA
• Debbie Lynn Webber, MED, LCPC, NCC
• Sean E Weber, LSW
• Brittnay Webster
• Sierra Spring Weeks
• Sasika Priyadarshani Weerakoon Mudiyanselage, MD
• Pahalapathirage Kaveen Weerasinghe, MD
• Elizabeth T Weiss, M. D.
• Sally Rose Weiss, MD

• Psychiatric/Mental Health Nurse Practitioner in Bangor, ME
• Providers in Bangor, ME by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.