NATALIIA IANTSEVYCH
Nurse Practitioner

Address: 1250 Forest Ave Ste 301, Portland, ME 04103-1884

NATALIIA IANTSEVYCH (NPI# 1083209266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083209266
Entity Type Individual
Full Name NATALIIA IANTSEVYCH
Gender Female
Practice Address 1250 Forest Ave Ste 301
Portland
ME 04103-1884
Practice Telephone 2079795753
Mailing Address 1250 Forest Ave Ste 301
Portland
ME 04103-1884
Mailing Telephone 2079795753
Certification Date 2021-04-06
Enumeration Date 2021-03-09
Last Update Date 2021-04-06
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 363L00000X Nurse Practitioner 211076 ME Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifiers

Identifier State Issuer Type Code
363LF0000X ME MEDICAID
211076 ME LICENSE Other

Office Location

Street Address 1250 FOREST AVE STE 301
City PORTLAND
State ME
Zip Code 04103-1884

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649782830 Sarah Roop Nurse Practitioner - Family 1250 Forest Ave Ste 301, Portland, ME 04103-1884 2017-10-29
1942743463 Tiffany Bossie Audiologist 1250 Forest Ave Ste 301, Portland, ME 04103-1884 2016-12-01
1093944258 Christina Marie Mimikos Otolaryngology - Otolaryngology/Facial Plastic Surgery 1250 Forest Ave Ste 301, Portland, ME 04103 2009-07-09
1114152600 Jeffrey A. Weihing Audiologist 1250 Forest Ave Ste 301, Portland, ME 04103-1884 2009-05-27
1720065295 Stephen Maturo Otolaryngology 1250 Forest Ave Ste 301, Portland, ME 04103-1884 2005-12-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609102904 Energy Workshop, Inc. Physical Therapist 1250 Forest Ave, Portland, ME 04103-1884 2009-10-22
1366653982 Advanced Foot Care and Laser Center,Pa Podiatrist 1250 Forest Ave, Suite 303, Portland, ME 04103-1884 2007-05-25
1518185602 Jeffrey P York, Md Urology 1250 Forest Ave, Portland, ME 04103-1884 2007-04-23
1427189919 David Thomson Md Facs Otolaryngology 1250 Forest Ave, Suite 207, Portland, ME 04103-1884 2007-03-08
1154460632 Sharon Lynn Smith Physician Assistant - Surgical Technologist 1250 Forest Ave, Portland, ME 04103-1884 2007-02-05
1598816787 Wayne Piers Do Orthopaedic Surgery 1250 Forest Ave, Portland, ME 04103-1884 2007-01-15
1730230921 Sheri L Piers · Maine Coast Adult Health Nurse Practitioner - Adult Health 1250 Forest Ave, Portland, ME 04103-1884 2007-01-15
1619075090 Portland Cardiology P.a. Internal Medicine - Cardiovascular Disease 1250 Forest Ave, Portland, ME 04103-1884 2006-09-20
1821194689 Thomas Lane Richardson Dentist - General Practice 1250 Forest Avenue, Suite 3b, Portland, ME 04103-1884 2006-09-16
1861448201 David D Keller Family Medicine 1250 Forest Ave, Portland, ME 04103-1884 2006-05-26
Find all providers in zip 04103-1884

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1790302677 Hope for All Community Services LLC Community/Behavioral Health 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 2020-06-26
1982251435 Hope Home Healthcare, LLC Home Health 68 Bishop St Unit 3 #2, Portland, ME 04103 2019-08-20
1992367023 Care for Everyone In Home Supportive Care 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 2019-06-28
1023676483 Robert Montague Student in an Organized Health Care Education/Training Program University of New England, 716 Stevens Ave, Portland, ME 04103 2019-05-31
1093373458 Emanuel Nistrian Student in an Organized Health Care Education/Training Program Une, 716 Stevens Ave., Portland, ME 04103 2019-05-31
1326501701 Outdoor Psychology, LLC Psychologist - Clinical 205 Ocean Avenue, Portland, ME 04103 2019-04-11
1477045961 Sisu Chiro Pllc Chiropractor 222 Auburn St Ste 102, Portland, ME 04103 2018-05-31
1275030975 Elyssa Deschaine Behavioral Analyst 527 Ocean Ave # 19, Portland, ME 04103 2018-04-09
1285147918 Teresa Maalouf Community Health Worker 23 Cambridge St., Portland, ME 04103 2017-11-16
1790322519 Ismael A Ali In Home Supportive Care 246 Auburn St 112, Portland, ME 04103-0410 2019-12-01
Find all providers in zip 04103

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255921177 Joel Roberts Nurse Practitioner 11236 Se Pine Ct, Portland, OR 97216-3343 2021-01-25
1306450655 Jocylin Egan Nurse Practitioner 442 Congress Street, 2nd Floor, Portland, ME 04101 2020-09-03
1366061798 Flourish Integrative Medicine Nurse Practitioner 2505 Sw Spring Garden St Ste 200, Portland, OR 97219-3966 2020-04-15
1073092631 Kerry M Torres Nurse Practitioner 428 W Votaw St, Portland, IN 47371-1302 2018-08-14
1427537844 Mardin Sabah Sabir Nurse Practitioner 5050 Ne Hoyt St Ste 259, Portland, OR 97213-2984 2018-08-07
1174039325 Gina Nicole Dasilva Nurse Practitioner 50 County Way, Portland, ME 04102-2755 2017-12-26
1003366709 Patricia Mae Wieler Nurse Practitioner 818 Congress St, Portland, ME 04102-3112 2016-10-06
1295185585 Stephanie Lynn Hart Nurse Practitioner 9135 Sw Barnes Rd Ste 963, Portland, OR 97225-6699 2016-06-16
1134585268 Kathleen Klunk Nurse Practitioner 1400 Ne Alberta St, Portland, OR 97211-5044 2016-01-05
1417329160 Dalia Ivekich Nurse Practitioner 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 2015-10-21
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 04103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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