Active NPI
Justin Bakaian, RD, CNSC
- Dietary Manager
- Augusta, ME
National Provider Identifier
1376817676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dietary Manager
- Practice address
- 1 VA Ctr
Augusta, ME 04330-6795 - Phone
- (207) 623-8411
- NPI assigned
- Mar 5, 2012
- Last updated
- Mar 3, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dietary Manager | 132700000X | Primary | ||
| Metabolic Nutrition Registered Dietitian | 133VN1006X | DI1080 | ME |
Addresses
Primary practice location
1 VA Ctr
Augusta, ME 04330-6795
Mailing address
264 Academy Rd
Monmouth, ME 04259-7033
Phone (207) 620-2179
Other practice location 1
420 Franklin St
Rumford, ME 04276-2104
Phone (207) 369-1296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1376817676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 ACADEMY RD",
"city": "MONMOUTH",
"state": "ME",
"postal_code": "042597033",
"telephone_number": "207-620-2179",
"fax_number": "207-753-7234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 VA CTR",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043306795",
"telephone_number": "207-623-8411"
}
],
"practiceLocations": [
{
"address_1": "420 Franklin St",
"address_purpose": "LOCATION",
"city": "Rumford",
"state": "ME",
"postal_code": "042762104",
"country_code": "US",
"telephone_number": "207-369-1296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKAIAN",
"first_name": "JUSTIN",
"credential": "RD, CNSC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-05",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": null,
"license": null,
"primary": true
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "ME",
"license": "DI1080",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.