Active NPI
Katherine J. Letourneau Agnp LLC
- Primary Care Nurse Practitioner
- South Portland, ME
National Provider Identifier
1760062293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- KATHERINE J. LETOURNEAU AGNP LLC
- Practice address
- 100 Brickhill Ave Ste 304
South Portland, ME 04106-1999 - Phone
- (207) 761-4870
- Fax
- (207) 761-4744
- NPI assigned
- Apr 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine J. Letourneau, APRN-CNP
- Title
- Nurse Practitioner
- Phone
- (207) 660-8960
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
100 Brickhill Ave Ste 304
South Portland, ME 04106-1999
Mailing address
100 Brickhill Ave Ste 304
South Portland, ME 04106-1999
Phone (207) 761-4700
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Primary Care Nurse Practitioner
- South Portland, ME
- NPI 1295136356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621814400000",
"number": "1760062293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BRICKHILL AVE STE 304",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041061999",
"telephone_number": "207-761-4700",
"fax_number": "207-761-4744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BRICKHILL AVE STE 304",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041061999",
"telephone_number": "207-761-4870",
"fax_number": "207-761-4744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHERINE J. LETOURNEAU AGNP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-09",
"last_updated": "2021-05-24",
"certification_date": "2021-04-09",
"status": "A",
"authorized_official_last_name": "LETOURNEAU",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "207-660-8960",
"authorized_official_credential": "APRN-CNP"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.