NICOLAS ROBERT FENTON
Student in an Organized Health Care Education/Training Program

Address: 198 Concord St, Portland, ME 04103-3102

NICOLAS ROBERT FENTON (NPI# 1760079503) 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) 1760079503
Entity Type Individual
Full Name NICOLAS ROBERT FENTON
Gender Male
Practice Address 198 Concord St
Portland
ME 04103-3102
Practice Telephone 2072408322
Mailing Address 198 Concord St
Portland
ME 04103-3102
Mailing Telephone 2072408322
Certification Date 2020-12-28
Enumeration Date 2020-12-28
Last Update Date 2020-12-28
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 198 CONCORD ST
City PORTLAND
State ME
Zip Code 04103-3102

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
1154838027 Kimberly Therriault Behavior Technician 527 Ocean Ave Ste 19, Portland, ME 04103 2018-01-02
1285147918 Teresa Maalouf Community Health Worker 23 Cambridge St., Portland, ME 04103 2017-11-16
1578082244 Darcelle Kay Stillman Occupational Therapist 90 Dorothy St, Portland, ME 04103 2017-09-14
1821524943 Engility Enterprises LLC · Engility Enterprises LLC Case Management 1 Coast Lane, Portland, ME 04103 2017-05-10
1720524283 Hannah Rose Kazilionis · Hannah Rose Mccomish Counselor · Addiction (Substance Use Disorder) 257 Deering Ave # 204, Portland, ME 04103 2017-01-09
Find all providers in zip 04103

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073102869 Brian Michael Thatcher Lifeworks Northwest, 14600 Nw Cornell Road, Portland, OR 97229-5442 2021-01-15
1588269815 Ashley Bullie Koch 2556 Nw Northrup St, Portland, OR 97210-2684 2020-12-03
1215536602 Dario J Lapoma 1305 Se Birch St, Portland, OR 97214-5335 2020-10-18
1740888155 Charles Samuel Goldfoot 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 2020-10-16
1396343992 Shelby Taylor Bowerly 4522 Ne Ainsworth St, Portland, OR 97218-1322 2020-10-15
1821696816 Nancy Sierra Ferrer 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 2020-10-13
1437757663 David Gallacher 3303 S Bond Ave # 1, Portland, OR 97239-4501 2020-10-10
1366049777 Carolyn Evans 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 2020-10-08
1669081659 Amy Hill 3931 N Juneau St Apt 7, Portland, OR 97217-7419 2020-07-27
1558979468 Elise Caitlin Esposito 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
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.