Heidi S Aston, RD
Individual provider Active NPI Registered Dietitian · Bangor, ME
NPI 1447585252 · NPPES record last updated Oct 13, 2009
Key facts
- NPI
- 1447585252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DI728 (ME)
- Practice address
- 1012 Union St
Bangor, ME 04401-3060 - Phone
- (207) 945-5247
- Fax
- (207) 990-1248
- NPI assigned
- Oct 13, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI728 | ME | Yes |
Addresses
Primary practice location
1012 Union St
Bangor, ME 04401-3060
Mailing address
PO Box 1599
103 Maine Ave
Bangor, ME 04402-1599
Phone (207) 945-5247
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MM9086 | Other | ME | MEDICARE GROUP NUMBER |
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2009. 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.