NPIMap

Organization Active NPI

Kennebec Valley Community Action Program

  • Women's Health Nurse Practitioner
  • Waterville, ME
National Provider Identifier
1720106362
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R013536 Issued in ME
Legal business name
KENNEBEC VALLEY COMMUNITY ACTION PROGRAM
Practice address
101 Water St
Suite 204
Waterville, ME 04901-6339
Phone
(207) 859-1638
Fax
(207) 859-1696
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Miss Colleen Taylor, FPNP
Title
FPNP
Phone
(207) 859-1639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X R013536 ME Primary

Addresses

Primary practice location

101 Water St
Suite 204
Waterville, ME 04901-6339

Mailing address

97 Water St
Waterville, ME 04901-6339
Phone (207) 859-1638

Other identifiers 1

IdentifierTypeStateIssuer
013238OtherMEANTHEM PROV. NUMBER

Other names 1

  • kvcap family planning or kvcap health services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kennebec Valley Community Action Program5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1720106362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 WATER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016339",
            "telephone_number": "207-859-1638",
            "fax_number": "207-859-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WATER ST",
            "address_2": "SUITE 204",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016339",
            "telephone_number": "207-859-1638",
            "fax_number": "207-859-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEBEC VALLEY COMMUNITY ACTION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "FPNP",
        "authorized_official_telephone_number": "207-859-1639",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "FPNP"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ME",
            "license": "R013536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROV. NUMBER",
            "identifier": "013238",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kvcap family planning or kvcap health services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.