NPIMap

Individual provider Active NPI

Susan Ellen Cadigan, RD

  • Registered Dietitian
  • South Portland, ME
National Provider Identifier
1306816731
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI1763 Issued in ME
Practice address
41 Donald B Dean Dr Ste a
South Portland, ME 04106-3252
Phone
(207) 661-6064
NPI assigned
Jan 26, 2006
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L001452 NC
Registered Dietitian 133V00000X DI1763 ME Primary

Addresses

Primary practice location

41 Donald B Dean Dr Ste a
South Portland, ME 04106-3252

Mailing address

41 Donald B Dean Dr Ste a
South Portland, ME 04106-3252
Phone (207) 661-6064

Other practice location 1

2817 Reilly Rd
Attn: Nutrition Care Division
Fort Bragg, NC 28310-7324
Phone (910) 907-7660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230306002214 ME Practitioner - Registered Dietitian Or Nutrition Professional 2466825856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

41 Donald B Dean Dr
Suite a
South Portland, ME 04106-3252
Phone (207) 661-6064

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L001452NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Feb 13, 2023 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Feb 13, 2023 Accepting new patients
Mainehealth Past Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

41 Donald B Dean Dr
#A
South Portland, ME 04106
Phone (207) 661-6064

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1306816731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 DONALD B DEAN DR STE A",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063252",
            "telephone_number": "207-661-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 DONALD B DEAN DR STE A",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063252",
            "telephone_number": "207-661-6064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2817 Reilly Rd",
            "address_2": "Attn: Nutrition Care Division",
            "address_purpose": "LOCATION",
            "city": "Fort Bragg",
            "state": "NC",
            "postal_code": "283107324",
            "country_code": "US",
            "telephone_number": "910-907-7660",
            "fax_number": "910-907-8735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CADIGAN",
        "first_name": "SUSAN",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L001452",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI1763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.