Individual provider Active NPI

Holly Bresnahan, RD

  • Registered Dietitian
  • Portland, ME
National Provider Identifier
1376243733
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI926 Issued in ME
Practice address
1577 Congress St
Portland, ME 04102-2169
Phone
(207) 662-5522
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230405000229 ME Practitioner - Registered Dietitian Or Nutrition Professional 7416322417 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI926MEMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Jan 23, 2023 Accepting new patients
Maine Medical Partners Current Accepting new patients
Mainehealth CurrentSince Jan 23, 2023 Accepting new patients
Maine Medical Partners CurrentSince Jan 23, 2023 Accepting new patients
Maine Medical Partners CurrentSince Jan 23, 2023 Accepting new patients
Mainehealth Past Accepting new patients

Locations

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

1577 Congress St
Portland, ME 04102
Phone (207) 662-1622

1577 Congress St
Ste 2
Portland, ME 04102
Phone (207) 662-1622

1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI926 ME Primary

Addresses

NPPES NPI Registry

Primary practice location

1577 Congress St
Portland, ME 04102-2169

Mailing address

8 Turnberry Cir
Scarborough, ME 04074-8436
Phone (207) 400-2344

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 6, 2023.

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1376243733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TURNBERRY CIR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748436",
            "telephone_number": "207-400-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022169",
            "telephone_number": "207-662-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESNAHAN",
        "first_name": "HOLLY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.