NPIMap

Organization Active NPI

Lavanway Nutrition LLC

  • Registered Dietitian
  • Hampden, ME
National Provider Identifier
1356593941
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
LAVANWAY NUTRITION LLC
Practice address
2A Constitution Ave
Hampden, ME 04444-1330
Phone
(207) 862-2303
Fax
(207) 862-2303
NPI assigned
Oct 15, 2008
Last updated
Oct 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Mary Ellen Lavanway, RD,LDNPI 1992981419
Title
Owner
Phone
(207) 862-2303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

2A Constitution Ave
Hampden, ME 04444-1330

Mailing address

2A Constitution Ave
Hampden, ME 04444-1330
Phone (207) 862-2303

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1356593941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2A CONSTITUTION AVE",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044441330",
            "telephone_number": "207-862-2303",
            "fax_number": "207-862-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2A CONSTITUTION AVE",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044441330",
            "telephone_number": "207-862-2303",
            "fax_number": "207-862-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVANWAY NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "LAVANWAY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-862-2303",
        "authorized_official_credential": "RD,LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampden, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.