Eileen Maher, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86000969

Practice address

118 Mills PL
San Ramon, CA 94583-3426

Phone

(516) 817-1502

NPI assigned

Mar 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Strategic Nutrition

  • Registered Dietitian
  • Lake Oswego, OR
  • NPI 1679823108

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1174986988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 EAST AVE APT 1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072251",
            "telephone_number": "516-817-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MILLS PL",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833426",
            "telephone_number": "516-817-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "EILEEN",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86000969",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86000969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86000969",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abid Rey Magsambol
• Andrew Mah, O.D.
• Balaji Mahadevan
• Alan Mahaguna
• Monishlla Maharaj
• Rajesh Kumar Maheshwari, MD
• Azarmidokht M Mahmoudi, D.D.S
• Christine Shannon Mahon, M.A.
• Josef Owen Maier, PA-C
• Todd Makiyama, DDS

• Registered Dietitian in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.