SALLY S STOTHOFF FNP
NPI 1366439929
Nurse Practitioner - Family in Waterville, ME

Active since September 29, 2005
180 KENNEDY MEMORIAL DR, SUITE 204, WATERVILLE, ME 04901(207) 872-5529(207) 872-9219 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2016, May 13, 2016 (2 updates tracked since 2016).

About Sally S Stothoff Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALLY S STOTHOFF FNP (NPI 1366439929) is an individual family provider in Waterville, Maine, licensed in Maine (CNP81238) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1366439929
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSALLY S STOTHOFFCredential: FNP
Location Address180 KENNEDY MEMORIAL DR, SUITE 204Waterville, ME 04901-4540
Mailing Address180 Kennedy Memorial Dr, Suite 204Waterville, ME 04901-4540 · (207) 872-5529 · Fax (207) 872-9219
Fax(207) 872-9219
Sole ProprietorNo
Enumeration DateSeptember 29, 2005
Last NPPES UpdateMay 23, 20162 updates tracked since enumeration
NPI 1366439929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in ME · CNP81238 Licensed in ME · R024050
180 KENNEDY MEMORIAL DR, Waterville, ME 04901

Other Identifiers 6

Other040915ME · Anthem
OtherAA21889ME · Harvard Pilgrim Healthca
OtherP00066199ME · Railroad Medicare
Medicare PINTX3954ME
Medicare UPINP20855ME
Medicaid284350099ME

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
180 KENNEDY MEMORIAL DR
WATERVILLE, ME 04901
Obstetrics & Gynecology
180 KENNEDY MEMORIAL DR, SUITE 304
WATERVILLE, ME 04901
Internal Medicine
180 KENNEDY MEMORIAL DR, SUITE 202
WATERVILLE, ME 04901
Nurse Practitioner
180 KENNEDY MEMORIAL DR
WATERVILLE, ME 04901
Psychiatry & Neurology (Clinical Neurophysiology)
180 KENNEDY MEMORIAL DR, SUITE 203
WATERVILLE, ME 04901
Surgery
180 KENNEDY MEMORIAL DR, SUITE 304
WATERVILLE, ME 04901
Surgery
180 KENNEDY MEMORIAL DR, SUITE 304
WATERVILLE, ME 04901
Obstetrics & Gynecology
180 KENNEDY MEMORIAL DR, SUITE 304
WATERVILLE, ME 04901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Stothoff's NPI number?

The NPI number for Sally Stothoff is 1366439929. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Sally Stothoff located?

Sally Stothoff practices at 180 Kennedy Memorial Dr Suite 204, Waterville, ME 04901. The listed phone number is (207) 872-5529.

What is Sally Stothoff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Sally Stothoff was last updated on May 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.