Samantha Bailey, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI1581 Issued in ME

Practice address

805 Stevens Ave
Portland, ME 04103-2647

Phone

(207) 772-6279

NPI assigned

Jun 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1336716547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BIRCHWOOD RD",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040397761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 STEVENS AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032647",
            "telephone_number": "207-772-6279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Giles St",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "ME",
            "postal_code": "040924103",
            "country_code": "US",
            "telephone_number": "207-409-2551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "SAMANTHA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI1581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "Y",
            "affiliationName": "Nutrition Works,LLC",
            "address_1": "805 Stevens Ave",
            "city": "Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041032647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kevin Francis Baier, M.D.
• Allison Bailey, MD
• Amanda Bailey, LCPC-C
• Corinne B Bailey
• Elizabeth P Bailey, PA
• Ronald E Bailyn, MD
• David Baird, M.D.
• Stephanie Baird, AC OT
• Amelia J Baker, RDN, CDCES
• Caroline A Baker, ANP

• Registered Dietitian in Portland, ME
• Providers in Portland, ME by specialty
• Registered Dietitian in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.