Carol S Austin, RD
Individual provider Active NPI Registered Dietitian · Waterville, ME
NPI 1417997263 · NPPES record last updated Jul 2, 2008
Key facts
- NPI
- 1417997263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DI170 (ME)
- Practice address
- 32 College Ave
Waterville, ME 04901-6100 - Phone
- (207) 872-1760
- Fax
- (207) 872-1875
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI170 | ME | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Behavioral Healthcare, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI170 | ME | Yes |
Addresses
Primary practice location
32 College Ave
Waterville, ME 04901-6100
Mailing address
32 College Ave
Waterville, ME 04901-6100
Phone (207) 872-1760
Other providers in Waterville, ME
- Philip M Apolito
- Amethyst J Arceo
- Dylan Atkins
- Stephanie Marie Aucoin
- Alishia M Austin
- Cynthia Austin
- Timothy J Axelson
- Isaac Axtell
- Faith Ayepola
- Crystal Denice Aylward
All providers in Waterville, ME · Registered Dietitian in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.