MEDICARE: MRS. KATRINA LIANNE HOCKEY PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	101.0136319	VT
2	163W00000X	Registered Nurse	RN64126	ME
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11018763	FL
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	CNP201509	ME
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	087346-23	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1285426296	OTHER	ME	BILLING NPI FOR THRIVELINE: TELEPSYCHIATRY & MENTAL WELLNESS, PLLC

General Provider Information

NPI Number	:	1497346035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATRINA LIANNE HOCKEY PMHNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 701
Second Line	:
City	:	PARSONSFIELD
State	:	ME
Zip	:	04047-0701
Country	:	US
Telephone Number	:	838-884-7483
Fax Number	:	207-209-4142

Provider Business Practice Location Address
First Line	:	1 HIGH ST STE 7
Second Line	:
City	:	KENNEBUNK
State	:	ME
Zip	:	04043-7148
Country	:	US
Telephone Number	:	838-884-7483
Fax Number	:	207-209-4142

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2021
Last Update Date	:	04/12/2026

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Directions to “ MRS. KATRINA LIANNE HOCKEY PMHNP-BC” Practice Location

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