Laura Ruth Feaga, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Dover Foxcroft, ME
NPI 1689135162 · NPPES record last updated Jan 28, 2020
Key facts
- NPI
- 1689135162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- CNP191197 (ME)
- Practice address
- 8 Moosehead LN Apt 111
Dover Foxcroft, ME 04426-1402 - Phone
- (207) 659-5160
- Fax
- (888) 346-9284
- NPI assigned
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective Jan 28, 2020 through Jan 28, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP191197 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Partners Psychiatric Services PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1048 South St
Dovr Foxcroft, ME 04426
Phone (207) 564-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP191197 | ME | Yes |
Addresses
Primary practice location
8 Moosehead LN Apt 111
Dover Foxcroft, ME 04426-1402
Mailing address
988 Sebec Lake Rd
Willimantic, ME 04443-4345
Phone (207) 659-5160
Other providers in Dover Foxcroft, ME
- Ethan Evankow
- Richard A. Evans
- Andrew Exley
- F.I.N.D Inc.
- Jane Elizabeth Fairchild
- Fernow Medical Associates
- Lesley Montgomery Fernow
- Sarah Fillmore
- David H Flaherty
- Tiffany Ann Fowles
All providers in Dover Foxcroft, ME · Psychiatric/Mental Health Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.