Active NPI
Holly Bresnahan, RD
- Registered Dietitian
- Portland, ME
National Provider Identifier
1376243733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI926
- 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.
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
- Neurological Surgery Physician
- Scarborough, ME
- NPI 1659351393
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Obstetrics & Gynecology Physician
- Portland, ME
- NPI 1679887277
-
- Clinic/Center
- Portland, ME
- NPI 1487346722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DI926 | ME | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI926 | ME | Primary |
Addresses
NPPES NPI RegistryPrimary 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.