Individual provider Active NPI

Patricia Danehy Catsos, M.S., R.D., L.D.

  • Registered Dietitian
  • Portland, ME
National Provider Identifier
1295741692
Registry record updated Feb 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI860 Issued in ME
Practice address
21 Waverly St
Portland, ME 04103-3313
Phone
(207) 318-7629
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI860 ME Primary

Addresses

Primary practice location

21 Waverly St
Portland, ME 04103-3313

Mailing address

PO Box 10106
Portland, ME 04104-0106
Phone (207) 318-7629

Other identifiers 3

IdentifierTypeStateIssuer
11564280OtherCAQH
1243064OtherAETNA
100285OtherBC BS

Other names 1

  • Miss Patricia Ann Danehy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061002000571 ME Practitioner - Registered Dietitian Or Nutrition Professional 0143225813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nutrition Works,LLCGroup PAC ID 8123091667, 5 clinicians

Practice addresses (Care Compare)

805 Stevens Ave
Portland, ME 04103-2647
Phone (207) 772-6279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DI860MEMDRegistered Dietitian
1209NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Works,LLC Dietitian, Registered CurrentSince Mar 1, 2006 Accepting new patients

Locations

805 Stevens Ave
Portland, ME 04103
Phone (207) 772-6279

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329609600000",
    "number": "1295741692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10106",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041040106",
            "telephone_number": "207-318-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WAVERLY ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033313",
            "telephone_number": "207-318-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATSOS",
        "first_name": "PATRICIA",
        "middle_name": "DANEHY",
        "name_prefix": "Ms.",
        "credential": "M.S., R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11564280",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1243064",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "100285",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "DANEHY",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "M.S., R.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.