Healthcare Provider Details

I. General information

NPI: 1497346035
Provider Name (Legal Business Name): KATRINA LIANNE HOCKEY PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2021
Last Update Date: 04/12/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HIGH ST STE 7
KENNEBUNK ME
04043-7148
US

IV. Provider business mailing address

PO BOX 701
PARSONSFIELD ME
04047-0701
US

V. Phone/Fax

Practice location:
  • Phone: 838-884-7483
  • Fax: 207-209-4142
Mailing address:
  • Phone: 838-884-7483
  • Fax: 207-209-4142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number101.0136319
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN64126
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11018763
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCNP201509
License Number StateME
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number087346-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: