Individual provider Active NPI

Denise Elaine Harris, RD

  • Registered Dietitian
  • Pleasant Point, ME
National Provider Identifier
1063138154
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI621 Issued in ME
Practice address
11 Back Rd
Pleasant Point, ME 04667-4119
Phone
(207) 853-0711
NPI assigned
Oct 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI621 ME Primary

Addresses

Primary practice location

11 Back Rd
Pleasant Point, ME 04667-4119

Mailing address

PO Box 70
Perry, ME 04667-0070
Phone (207) 853-0736

Other practice location 1

194 Shore Road
Perry, ME 04667-0070
Phone (207) 853-0736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909002468 ME Practitioner - Registered Dietitian Or Nutrition Professional 6204376973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Passamaquoddy Tribal CouncilGroup PAC ID 0244252831, 11 clinicians

Practice addresses (Care Compare)

11 Back Rd
Pleasant Point, ME 04667-4119
Phone 2078530644290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Passamaquoddy Tribal Council CurrentSince Jun 9, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1063138154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "PERRY",
            "state": "ME",
            "postal_code": "046670070",
            "telephone_number": "207-853-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BACK RD",
            "city": "PLEASANT POINT",
            "state": "ME",
            "postal_code": "046674119",
            "telephone_number": "207-853-0711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "194 Shore Road",
            "address_purpose": "LOCATION",
            "city": "Perry",
            "state": "ME",
            "postal_code": "046670070",
            "country_code": "US",
            "telephone_number": "207-853-0736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DENISE",
        "middle_name": "ELAINE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Point, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.