Tammy Fortier, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R048589 Issued in ME

Practice address

59 Bangor St
Houlton, ME 04730-1740

Phone

(207) 528-2285

Fax

(207) 528-2880

NPI assigned

Jun 6, 2006

Sex

Female

Sole proprietor

No

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.

• Weeks Medical Center

  • Clinic/Center
  • Whitefield, NH
  • NPI 1508819566
  NPD
• Katahdin Valley Health Center

  • Dental Clinic/Center
  • Bangor, ME
  • NPI 1356537096
  NPD (past)
• Androscoggin Valley Hospital Inc

  • General Practice Physician
  • Berlin, NH
  • NPI 1679526644
  NPD (past)
• Specialized Health Management Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Needham, MA
  • NPI 1700912656
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

Specialties & licenses 1

Addresses

Other identifiers 7

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1790725273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "047650500",
            "telephone_number": "207-528-2285",
            "fax_number": "207-528-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 BANGOR ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301740",
            "telephone_number": "207-528-2285",
            "fax_number": "207-528-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTIER",
        "first_name": "TAMMY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ME",
            "license": "R048589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL W/C GROUP",
            "identifier": "119411700",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHIC GROUP PTAN",
            "identifier": "203814",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4961926001",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM NUMBER",
            "identifier": "047805",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRAM",
            "identifier": "P45527",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP",
            "identifier": "144828",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282780099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lois M Flewelling, LCPC
• Melissa Sue Flewelling, LCPC
• Alexander Ricky Folsom, PTA, ATC
• Colleen P Folsom, RN
• Lorraine Folsom, DPT
• Kim Ellen Fox, RN
• Colleen C Frost
• Leanne Rose Gallant, PHARMD
• Kristin M Gallop, NURSE PRACTITIONER
• Gardiner Health Care Facility Inc

• All providers in Houlton, ME
• Adult Health Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.