Individual provider Active NPI

Triste Marie Coulombe, MD

  • Obstetrics & Gynecology Physician
  • Lewiston, ME
National Provider Identifier
1841297470
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD10904 Issued in RI
Practice address
93 Campus Ave
Lewiston, ME 04240-6030
Phone
(207) 777-8650
Fax
(207) 777-8641
NPI assigned
Jun 28, 2005
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD10904 RI Primary

Addresses

Primary practice location

93 Campus Ave
Lewiston, ME 04240-6030

Mailing address

93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-8650

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050830000212 ME Practitioner - Obstetrics/Gynecology 7113958182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Warren Alpert Medical School of Brown University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Regional Medical CenterGroup PAC ID 0042107120, 192 clinicians

Practice addresses (Care Compare)

93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-4420

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital Obstetrics & Gynecology CurrentSince Jan 27, 2024 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Aug 23, 2024 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Aug 23, 2024 Accepting new patients

Locations

330 Sabattus St
Lewiston, ME 04240
Phone (207) 777-4300

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

93 Campus Ave
#12
Lewiston, ME 04240

93 Campus Ave
#I2
Lewiston, ME 04240
Phone (207) 777-8650

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

16 Hospital Dr
York, ME 03909
Phone (207) 351-3455

Interoperability endpoints

  • Direct secure messaging: tcoulombe2653608@direct.bsmhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1841297470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 CAMPUS AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406030",
            "telephone_number": "207-777-8650",
            "fax_number": "207-777-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 CAMPUS AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406030",
            "telephone_number": "207-777-8650",
            "fax_number": "207-777-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULOMBE",
        "first_name": "TRISTE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD10904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.