Rd 207, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

RD 207, LLC

Practice address

6 State St Ste 607
Bangor, ME 04401-5140

Phone

(207) 460-0550

NPI assigned

Apr 21, 2020

Last updated

Apr 21, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tara Gould, MS, RDNPI 1407476351

Title

Registered Dietitian/ LLC Member

Phone

(207) 460-0550

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tara Gould, MS, RD

  • Registered Dietitian
  • Bangor, ME
  • NPI 1407476351

  Dietitian, Registered

  NPD Authorized official
• Kaileigh M Porter, RD CDE

  • Registered Dietitian
  • Bangor, ME
  • NPI 1578800397

  Dietitian, Registered

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1043830904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WING RD",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "044010418",
            "telephone_number": "207-460-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 STATE ST STE 607",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015140",
            "telephone_number": "207-460-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RD 207, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/ LLC MEMBER",
        "authorized_official_telephone_number": "207-460-0550",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Rawcliffe, DO
• John P Raymond, PA-C
• Melissa D Raymond, PT
• Micah Billings Cole Raymond, LCPC-C/ LADC
• Sheila Ruth Raymond
• David Brian Rea, D.C.
• David Bert Read, CADC
• Ann C Reardon, MD
• Kylie J Reck, PNP
• Dean L Redding, DO

• Registered Dietitian in Bangor, ME
• Providers in Bangor, ME by specialty
• Registered Dietitian in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.