Individual provider Active NPI

Linda Helen Lavallee, ANP-BC

  • Adult Health Nurse Practitioner
  • Windham, ME
National Provider Identifier
1649415845
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
CNP211217 Issued in ME
Practice address
582 Roosevelt TRL
Windham, ME 04062-4904
Phone
(207) 892-3233
Fax
(207) 810-4990
NPI assigned
Dec 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 198710 MA
Adult Health Nurse Practitioner 363LA2200X CNP211217 ME Primary

Addresses

Primary practice location

582 Roosevelt TRL
Windham, ME 04062-4904

Mailing address

582 Roosevelt TRL
Windham, ME 04062-4904
Phone (207) 892-3233

Other practice location 1

1049 Main Street
Springfield, MA 01103
Phone (413) 739-1100

Other practice location 2

49 Spring St Ste 101
Scarborough, ME 04074-8926
Phone (207) 883-7926

Other identifiers 3

IdentifierTypeStateIssuer
110028120MedicaidMA
ML1390018OtherMASTATE CONTROLLED SUBSTANCE REGISTRATION
ML0622527IOtherMASTATE CONTROLLED SUBSTANCE REGISTRATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140820000782 MA Practitioner - Nurse Practitioner 8022236850 Reassigns benefits to 2 organizations
I20260312002399 ME Practitioner - Nurse Practitioner 8022236850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

272 Congress St
Portland, ME 04101-3637
Phone (207) 874-2466

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
198710MAMDAdult Health Nurse Practitioner
CNP211217MEMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Plus CurrentSince Mar 12, 2022 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Jun 1, 2022 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients
Pioneer Neurology and Sleep PC Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

3 Allied Dr
Dedham, MA 02026
Phone (404) 587-0945

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

22 Atwood Dr
Fl 2
Northampton, MA 01060
Phone (413) 584-2178

Organizations & group practices 5

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.

Hospital & facility affiliations 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1649415845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 ROOSEVELT TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624904",
            "telephone_number": "207-892-3233",
            "fax_number": "207-810-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 ROOSEVELT TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624904",
            "telephone_number": "207-892-3233",
            "fax_number": "207-810-4990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1049 Main Street",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "01103",
            "country_code": "US",
            "telephone_number": "413-739-1100",
            "fax_number": "413-735-1133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "49 Spring St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040748926",
            "country_code": "US",
            "telephone_number": "207-883-7926",
            "fax_number": "207-618-5021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVALLEE",
        "first_name": "LINDA",
        "middle_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "198710",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ME",
            "license": "CNP211217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110028120",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CONTROLLED SUBSTANCE REGISTRATION",
            "identifier": "ML1390018",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CONTROLLED SUBSTANCE REGISTRATION",
            "identifier": "ML0622527I",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, ME

Sources for this page

Verify at the official NPI Registry.