Active NPI
Saco Sport and Fitness
- Registered Dietitian
- Saco, ME
National Provider Identifier
1215324892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI1251
- Legal business name
- SACO SPORT AND FITNESS
- Practice address
- 329 North St
Saco, ME 04072-1815 - Phone
- (207) 284-5953
- NPI assigned
- Apr 21, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Gillespie
- Title
- General Manager
- Phone
- (207) 284-5953
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI1251 | ME | Primary |
Addresses
Primary practice location
329 North St
Saco, ME 04072-1815
Mailing address
329 North St
Saco, ME 04072-1815
National Provider Directory
National Provider Directory- Tax ID family
- Saco Sport and Fitness
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dietary Manager
- Saco, ME
- NPI 1104203652
Locations
329 North St
Saco, ME 04072
Phone (207) 284-5953
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Portland, ME
- NPI 1518494806
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429574400000",
"number": "1215324892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 NORTH ST",
"city": "SACO",
"state": "ME",
"postal_code": "040721815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 NORTH ST",
"city": "SACO",
"state": "ME",
"postal_code": "040721815",
"telephone_number": "207-284-5953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACO SPORT AND FITNESS",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-21",
"last_updated": "2015-04-21",
"status": "A",
"authorized_official_last_name": "GILLESPIE",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "207-284-5953"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "ME",
"license": "DI1251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saco, ME
- Saco Bay Orthopaedic and Sports Physical Therapy, Inc.
- Saco Bay Orthopaedic and Sports Physical Therapy, Inc.
- Saco Family Dentistry Holding LLC
- Saco School Department
- Saco Sport & Fitness
- Diana Sainte, LIC. AC.
- Devon Sanderson, LCSW
- Maureen D. Sanford, PSYD
- Luke Santoro, RPH
- Minquansis Sapiel, LMSW-CC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.