Lorrie Ann Pettengill

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Practice address

24 Hoyt St
Springvale, ME 04083-1710

Phone

(207) 730-0968

Fax

(207) 850-1184

NPI assigned

Jun 6, 2016

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Golden Years Adult Day Care

  • Adult Day Care Clinic/Center
  • Springvale, ME
  • NPI 1013451202

  Adult Day Care

  NPD Authorized official

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1740639210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOYT ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831710",
            "telephone_number": "207-730-0968",
            "fax_number": "207-850-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOYT ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831710",
            "telephone_number": "207-730-0968",
            "fax_number": "207-850-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTENGILL",
        "first_name": "LORRIE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonnie Olise, B.PHARM
• Emily Shayna Ostrow, LCSW
• Suzanne Karen Patterson, LCPC-C
• Tracy Lynn Payeur, MS, OTR/L
• Kelly A Perry, LCSW
• Suzanne Elizabeth Plano, D.C.
• Providence Service Corporation
• Jennifer J Quimby, RD
• Katherine Caramihalis Rackliff, MA, CCC-SLP
• Rebecca B Ready, CCC-SLP

• All providers in Springvale, ME
• Adult Day Care Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.