Northstar Wellness Group LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

NORTHSTAR WELLNESS GROUP LLC

Practice address

79 Main St FL 3
Auburn, ME 04210-5811

Phone

(207) 222-3023

Fax

(888) 594-2351

NPI assigned

Aug 8, 2018

Last updated

Aug 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer S Fournier

Title

Baa

Phone

(207) 376-5405

Specialties & licenses 1

Addresses

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.

• Jennifer McGahey, RDN LD

  • Registered Dietitian
  • Lewiston, ME
  • NPI 1255889010
  NPD

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1801375050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 571",
            "city": "SABATTUS",
            "state": "ME",
            "postal_code": "042800571",
            "telephone_number": "207-376-5405",
            "fax_number": "207-375-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MAIN ST FL 3",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105811",
            "telephone_number": "207-222-3023",
            "fax_number": "888-594-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "FOURNIER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BAA",
        "authorized_official_telephone_number": "207-376-5405"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Auburn, ME
• Providers in Auburn, ME by specialty
• Health Service Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.