Seaside Family Health Care LLC PA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP101027 Issued in ME

Legal business name

SEASIDE FAMILY HEALTH CARE LLC PA

Practice address

155 Saco Ave Ste 2a
Old Orchard Beach, ME 04064-1600

Phone

(207) 937-8254

Fax

(207) 937-8529

NPI assigned

May 15, 2018

Organization subpart

No

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

Authorized official

Name

Lourie Ann Swimm, FNPNPI 1942521851

Title

Owner/Operator

Phone

(207) 937-8254

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16865/brand/1/csg/1/fhir/r4

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lourie Ann Swimm, FNP

  • Family Nurse Practitioner
  • Old Orchard Beach, ME
  • NPI 1942521851
  Medicare reassignment Care Compare group NPD Authorized official
• Keohikai Michael Laikupu, NP

  • Primary Care Nurse Practitioner
  • Old Orchard Beach, ME
  • NPI 1013672435
  Medicare reassignment Care Compare group NPD
• Micah Gordon Malenfant, DNP, PMHNP-BC, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Scarborough, ME
  • NPI 1902415268
  Medicare reassignment Care Compare group
• Catherine Sierra Stuart, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Old Orchard Beach, ME
  • NPI 1396554481
  Medicare reassignment NPD

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1972093011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 675",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040720675",
            "telephone_number": "207-502-9465",
            "fax_number": "207-937-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SACO AVE STE 2A",
            "city": "OLD ORCHARD BEACH",
            "state": "ME",
            "postal_code": "040641600",
            "telephone_number": "207-937-8254",
            "fax_number": "207-937-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE FAMILY HEALTH CARE LLC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "SWIMM",
        "authorized_official_first_name": "LOURIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "207-937-8254",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP101027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina M Records
• Rite Aid of Maine Inc
• Suzanne G Roberts, M.D.
• Patricia H Robinson, LCSW
• Royal Residential Care LLC
• Serenity Dental LLC
• Brendon D Sewall, CADC
• Ronald Smith, LADC
• Johanne Soucy-Camire, M.ED, BCBA
• Alicia T Sousa, RDH

• Family Nurse Practitioner in Old Orchard Beach, ME
• Providers in Old Orchard Beach, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.