Individual provider Active NPI

Katie Gillihan, FNP

  • Family Nurse Practitioner
  • Belgrade, ME
National Provider Identifier
1750945986
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP211196 Issued in ME
Practice address
4 Clement Way
Belgrade, ME 04917-4370
Phone
(207) 495-3323
Fax
(207) 495-3353
NPI assigned
Apr 23, 2019
Last updated
Nov 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP211196 ME Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP211196 ME
Registered Nurse 163W00000X RN67508 ME

Addresses

Primary practice location

4 Clement Way
Belgrade, ME 04917-4370

Mailing address

PO Box 727
Waterville, ME 04903-0727
Phone (207) 660-9926

Other practice location 1

10 Whitten Rd
Augusta, ME 04330-6019
Phone (207) 466-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210618001147 ME Practitioner - Nurse Practitioner 4789084369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9 School St
Fairfield, ME 04937-1326
Phone (207) 861-9666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN67508MEMDRegistered Nurse
CNP211196MEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Dec 1, 2023 Accepting new patients
Healthreach Community Health Centers CurrentSince Jun 14, 2021 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Dec 1, 2023 Accepting new patients
Convenientmd - FFS UC LLC Single Specialty Current Accepting new patients
Healthreach Community Health Centers Single Specialty CurrentSince Jun 14, 2021 Accepting new patients
Healthreach Community Health Centers Single Specialty Past Accepting new patients
Healthreach Community Health Centers Single Specialty Past Accepting new patients
Healthreach Community Health Centers Single Specialty Past Accepting new patients
Healthreach Community Health Centers Single Specialty Past Accepting new patients
Healthreach Community Health Centers Single Specialty Past Accepting new patients

Locations

600 Center St
Auburn, ME 04210
Phone (207) 783-8951

10 Whitten Rd
Augusta, ME 04330
Phone (207) 466-2400

4 Clement Way
Belgrade, ME 04917
Phone (207) 660-9924

193 Bath Rd
Brunswick, ME 04011
Phone (207) 424-2272

9 School St
Fairfield, ME 04937
Phone (207) 861-9666

10 Water St
Ste 305
Waterville, ME 04901
Phone (207) 872-5610

950 Main St
Westbrook, ME 04092
Phone (207) 517-3800

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1750945986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049030727",
            "telephone_number": "207-660-9926",
            "fax_number": "207-660-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CLEMENT WAY",
            "city": "BELGRADE",
            "state": "ME",
            "postal_code": "049174370",
            "telephone_number": "207-495-3323",
            "fax_number": "207-495-3353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Whitten Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043306019",
            "country_code": "US",
            "telephone_number": "207-466-2400",
            "fax_number": "207-466-2402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIHAN",
        "first_name": "KATIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP211196",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP211196",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN67508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belgrade, ME

Sources for this page

Verify at the official NPI Registry.