Active NPI
Dessiree Berry
- Nutritionist
- Windham, ME
National Provider Identifier
1164211645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 89 Tandberg TRL
Windham, ME 04062-5201 - Phone
- (207) 650-7682
- NPI assigned
- May 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
89 Tandberg TRL
Windham, ME 04062-5201
Mailing address
156 Raymond Hill Rd
Raymond, ME 04071-6142
Phone (207) 650-7682
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1164211645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 RAYMOND HILL RD",
"city": "RAYMOND",
"state": "ME",
"postal_code": "040716142",
"telephone_number": "207-650-7682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 TANDBERG TRL",
"city": "WINDHAM",
"state": "ME",
"postal_code": "040625201",
"telephone_number": "207-650-7682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "DESSIREE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-02",
"last_updated": "2025-05-02",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.