Active NPI
Robert E Lemoine, APRN
- Nurse Practitioner
- Houlton, ME
National Provider Identifier
1891800249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 002755
- Practice address
- 59 Bangor St
Houlton, ME 04730-1740 - Phone
- (207) 528-2285
- Fax
- (207) 528-2595
- NPI assigned
- Aug 19, 2006
- Last updated
- Jul 30, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 002755 | CT | Primary |
| Family Nurse Practitioner | 363LF0000X | AP081866 | ME |
Addresses
Primary practice location
59 Bangor St
Houlton, ME 04730-1740
Mailing address
PO Box 500
Patten, ME 04765-0500
Phone (207) 528-2285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203814 | Other | ME | NHIC GROUP PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002755 | CT | MD | Clinical Social Worker |
| AP081866 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katahdin Valley Health Center | Past | Accepting new patients | |
| Micmac Health Department | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1881232346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343606400000",
"number": "1891800249",
"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": "207-528-2595"
},
{
"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": "207-528-2595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMOINE",
"first_name": "ROBERT",
"middle_name": "E",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2012-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "002755",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "AP081866",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHIC GROUP PTAN",
"identifier": "203814",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houlton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.