Angela Roy, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN61175 Issued in ME

Practice address

16 Association Dr.
Manchester, ME 04351

Phone

(207) 292-5512

NPI assigned

May 5, 2023

Last updated

Aug 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Everest Recovery Centers - Maine

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Manchester, ME
  • NPI 1295432110
  NPD
• Everest Recovery Centers - Maine

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Saco, ME
  • NPI 1720650823
  NPD (past)

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1952090870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 258",
            "city": "MANCHESTER",
            "state": "ME",
            "postal_code": "043510258",
            "telephone_number": "207-292-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ASSOCIATION DR.",
            "city": "MANCHESTER",
            "state": "ME",
            "postal_code": "04351",
            "telephone_number": "207-292-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "ANGELA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN61175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane Plum, R.N.
• Terry Poland, RN
• Jean Marie Pratt, LCPC, LADC, CCS
• Prospect Inc.
• Rite Aid of Maine Inc (Rite Aid Pharmacy 04735)
• Dustin R Sulak, D.O.
• Karin Thornton
• Derrick S Tooth, MD
• Amy M Vanhoey
• Peter J Volk, PA-C

• Registered Nurse in Manchester, ME
• Providers in Manchester, ME by specialty
• Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.