Individual provider Active NPI

Danielle Claire Mowry, MS, RDN

  • Registered Dietitian
  • Lewiston, ME
National Provider Identifier
1154935559
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DL1864 Issued in ME
Practice address
300 Main St
Lewiston, ME 04240-7041
Phone
(207) 795-5984
NPI assigned
Sep 2, 2020
Last updated
Sep 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LDN01076 RI
Registered Dietitian 133V00000X DL1864 ME Primary

Addresses

Primary practice location

300 Main St
Lewiston, ME 04240-7041

Mailing address

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-5984

Other practice location 1

450 Veterans Memorial Pkwy Ste 8C
East Providence, RI 02914-5300
Phone (401) 396-9331

Other names 1

  • Danielle Claire Lambert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210809001115 RI Practitioner - Registered Dietitian Or Nutrition Professional 0244634590 Reassigns benefits to 1 organization
I20231019001174 ME Practitioner - Registered Dietitian Or Nutrition Professional 0244634590 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DL1864MEMDRegistered Dietitian
LDN01076RIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Sep 18, 2023 Accepting new patients
Central Maine Medical Center CurrentSince Sep 18, 2023 Accepting new patients
Evolution Nutrition Inc. Dietitian, Registered CurrentSince Mar 1, 2023 Accepting new patients
Central Maine Medical Center Current Accepting new patients
Associates in Nutrition Dietitian, Registered CurrentSince Jul 24, 2022 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

12 High St
Ste 401
Lewiston, ME 04240
Phone (207) 795-2494

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

1145 Reservoir Ave
Cranston, RI 02920
Phone (401) 228-6010

1145 Reservoir Ave
Ste 126
Cranston, RI 02920
Phone (401) 228-6010

450 Veterans Memorial Pkwy
East Providence, RI 02914
Phone (401) 431-0080

450 Veterans Memorial Pkwy
Ste 8C
East Providence, RI 02914
Phone (401) 396-9331

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 6

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": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1154935559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407027",
            "telephone_number": "207-795-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407041",
            "telephone_number": "207-795-5984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Veterans Memorial Pkwy Ste 8C",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029145300",
            "country_code": "US",
            "telephone_number": "401-396-9331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOWRY",
        "first_name": "DANIELLE",
        "middle_name": "CLAIRE",
        "credential": "MS, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN01076",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DL1864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "LAMBERT",
            "middle_name": "CLAIRE",
            "credential": "MS, RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.