Active NPI
Triste Marie Coulombe, MD
- Obstetrics & Gynecology Physician
- Lewiston, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD10904
- Practice address
- 93 Campus Ave
Lewiston, ME 04240-6030 - Phone
- (207) 777-8650
- Fax
- (207) 777-8641
- NPI assigned
- Jun 28, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Skilled Nursing Facility
- Lewiston, ME
- NPI 1952306524
-
- Psychiatric Hospital Unit
- Lewiston, ME
- NPI 1245292788
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
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 Center
Practice addresses (Care Compare)
93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-4420
Hospital & facility affiliations
- St Mary'S Regional Medical Center
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050830000212 | ME | Practitioner - Obstetrics/Gynecology | 7113958182 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Regional Medical Center | Current | Accepting new patients | |
| York Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| St. Mary'S Regional Medical Center | Current | Accepting new patients |
Locations
330 Sabattus St
Lewiston, ME 04240
Phone (207) 777-4300
93 Campus Ave
#I2
Lewiston, ME 04240
Phone (207) 777-4420
93 Campus Ave
#12
Lewiston, ME 04240
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
16 Hospital Dr
York, ME 03909
Phone (207) 351-3455
15 Hospital Dr
York, ME 03909
Phone (207) 351-2478
Interoperability endpoints
- tcoulombe2653608@direct.bsmhealth.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD10904 | RI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
93 Campus Ave
Lewiston, ME 04240-6030
Mailing address
93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-8650
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7009931 | Medicaid | RI |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 2, 2025.
{
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7009931",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.