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).
| 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 |
| 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 |
| Street Address | 198 CONCORD ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-3102 |
| 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 Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| 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 | ||||
| City | PORTLAND |
| Zip Code | 04103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609847359 | William Robert Moilanen | Dentist · General Practice | 14165 N Fenton Rd, Suite 201a, Fenton, MI 48430-1587 | 2006-01-31 |
| 1275816076 | Anthony Robert Williams | Pharmacist | 1051 Fenton Park Dr, Fenton, MO 63026-7613 | 2011-09-28 |
| 1417306382 | Epifania V Nicolas · Nicolas Dental Corporation | Dentist | 1637 S Euclid St, Anaheim, CA 92802-2406 | 2016-06-10 |
| 1962851840 | Epifania V Nicolas · Nicolas Dental Corporation | Dentist | 301 E Hobsonway, Blythe, CA 92225-1732 | 2016-06-10 |
| 1114376126 | Epifania V Nicolas · Nicolas Dental Corporation | Dentist | 414 Tenneese St, Redlands, CA 92373-8126 | 2016-06-09 |
| 1215349642 | Robert Nicolas Petro | Family Medicine | 1411 S Potomac St Ste 300, Aurora, CO 80012-4539 | 2014-05-20 |
| 1326597238 | Nicolas Robert Branshaw | Dentist | 7117 Green Bay Rd, Kenosha, WI 53142-1450 | 2016-10-04 |
| 1558325654 | Robert Nicolas Keenan | Surgery | 25405 Hancock Avenue, Suite 202, Murrieta, CA 92562-5978 | 2006-04-14 |
| 1184762445 | Robert L Fenton | Social Worker · Clinical | 908 New Hampshire Ave Nw, Suite 603, Washington, DC 20037-2346 | 2007-02-01 |
| 1568572667 | Fred Robert Fenton | Emergency Medicine | 326 Washington St, Norwich, CT 06360 | 2006-08-30 |
Please provide details on NICOLAS ROBERT FENTON by submitting the form below, or post on facebook comments.
Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.
| 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.