Individual provider Active NPI

Gwen Marie Scott, RD, LD, CDE

  • Registered Dietitian
  • Lewiston, ME
National Provider Identifier
1093918450
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI219 Issued in ME
Practice address
287 Main St
Ste. 301
Lewiston, ME 04240-7054
Phone
(207) 795-7520
Fax
(207) 795-7179
NPI assigned
Jun 6, 2007
Last updated
Dec 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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 DI219 ME Primary

Addresses

Primary practice location

287 Main St
Ste. 301
Lewiston, ME 04240-7054

Mailing address

287 Main St
Ste. 301
Lewiston, ME 04240-7054
Phone (207) 795-7520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI219MEMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Endocrinology Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1093918450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 MAIN ST",
            "address_2": "STE. 301",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407054",
            "telephone_number": "207-795-7520",
            "fax_number": "207-795-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 MAIN ST",
            "address_2": "STE. 301",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407054",
            "telephone_number": "207-795-7520",
            "fax_number": "207-795-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "GWEN MARIE",
        "name_prefix": "Mrs.",
        "credential": "RD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.