Active NPI
Heather Ann Livingston Lavallee, FNP
- Family Nurse Practitioner
- South Portland, ME
National Provider Identifier
1841569720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP111096
- Practice address
- 100 Foden Road
West Building Suite 103
South Portland, ME 04106-2351 - Phone
- (207) 828-1122
- Fax
- (207) 828-0188
- NPI assigned
- Dec 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP111096 | ME | Primary |
Addresses
Primary practice location
100 Foden Road
West Building Suite 103
South Portland, ME 04106-2351
Mailing address
100 Foden Road
West Building Suite 103
South Portland, ME 04106-2351
Phone (207) 828-1122
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
409 Roosevelt TRL
Windham, ME 04062-4821
Phone (207) 400-8600
Hospital & facility affiliations
- Northern Light Home Care & Hospice
- Northern Light Home Care & Hospice
- Northern Light Mercy Hospital
- Mainehealth Maine Medical Center
- Northern Light Mayo Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.67 of 100
- Quality
- 60.7
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 73.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP111096 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chest Medicine Associates, PA | Current | Accepting new patients |
Locations
100 Foden Rd
#103
South Portland, ME 04106
Phone (207) 828-1122
100 Foden Rd
Ste W-103
South Portland, ME 04106
Phone (207) 772-2625
100 Foden Rd
South Portland, ME 04106
Phone (207) 828-1122
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
-
- Pulmonary Disease Physician
- South Portland, ME
- NPI 1437255247
Hospital & facility affiliations 41
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447632000000",
"number": "1841569720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 FODEN ROAD",
"address_2": "WEST BUILDING SUITE 103",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062351",
"telephone_number": "207-828-1122",
"fax_number": "207-828-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FODEN ROAD",
"address_2": "WEST BUILDING SUITE 103",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062351",
"telephone_number": "207-828-1122",
"fax_number": "207-828-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGSTON LAVALLEE",
"first_name": "HEATHER",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-21",
"last_updated": "2015-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP111096",
"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 Nov 16, 2015; 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.