Pine Grove Nutrition Counseling, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

PINE GROVE NUTRITION COUNSELING, LLC

Practice address

6 Federal St Unit E
Brunswick, ME 04011-1508

Phone

(207) 830-8300

Fax

(207) 830-8382

NPI assigned

Apr 7, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ria Saunders, RDN

Title

Owner/Operator

Phone

(207) 830-8300

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1568041457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FEDERAL ST UNIT E",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040111508",
            "telephone_number": "207-830-8300",
            "fax_number": "207-830-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FEDERAL ST UNIT E",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040111508",
            "telephone_number": "207-830-8300",
            "fax_number": "207-830-8382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Alpine St",
            "address_purpose": "LOCATION",
            "city": "Vassalboro",
            "state": "ME",
            "postal_code": "049893020",
            "country_code": "US",
            "telephone_number": "207-830-8300",
            "fax_number": "207-830-8382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINE GROVE NUTRITION COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "RIA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "207-830-8300",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Registered Dietitian in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.