Active NPI
Healthy Habits Nutrition & Wellness
- Registered Dietitian
- Bangor, ME
National Provider Identifier
1538004403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- HEALTHY HABITS NUTRITION & WELLNESS
- Practice address
- 130 Perry Rd
Bangor, ME 04401-6722 - Phone
- (207) 717-9224
- NPI assigned
- Apr 20, 2026
- Last updated
- Apr 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cristina Clark, RDN, ATC
- Title
- Owner
- Phone
- (207) 717-9224
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
130 Perry Rd
Bangor, ME 04401-6722
Mailing address
23 Hopkins Rd
Hampden, ME 04444-1218
Phone (207) 717-9224
National Provider Directory
National Provider DirectoryLocations
130 Perry Rd
Bangor, ME 04401
Phone (207) 992-4000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Hampden, ME
- NPI 1871953638
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776643200000",
"number": "1538004403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 HOPKINS RD",
"city": "HAMPDEN",
"state": "ME",
"postal_code": "044441218",
"telephone_number": "207-717-9224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 PERRY RD",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016722",
"telephone_number": "207-717-9224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY HABITS NUTRITION & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-20",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "CRISTINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-717-9224",
"authorized_official_credential": "RDN, ATC"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.