Katherine Alexis Davenport, MS, RD, LD

Individual provider Active NPI Registered Dietitian · Lewiston, ME

NPI 1164048260 · NPPES record last updated Dec 8, 2025

Key facts

NPI
1164048260
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
DI1539 (ME)
Practice address
300 Main St
Lewiston, ME 04240-7027
Phone
(207) 795-8368
NPI assigned
Jun 24, 2020
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI1539 ME Yes

Addresses

Primary practice location

300 Main St
Lewiston, ME 04240-7027

Mailing address

105 Harvest Road
Holden, ME 04429
Phone (207) 944-3139

Other practice location 1

293 Blue Rd Apt 8
Monmouth, ME 04259-6900
Phone (207) 944-3139

Other providers in Lewiston, ME

All providers in Lewiston, ME · Registered Dietitian in Maine

Sources for this page

Verify at the official NPI Registry.