Kaileigh M Porter, RD CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI1186 Issued in ME

Practice address

900 Broadway BLDG 3
Bangor, ME 04401

Phone

(207) 907-1187

Fax

(207) 907-1189

NPI assigned

Jan 14, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Kaileigh M Duym Former name

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eastern Maine Medical Center

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1790789147
  Medicare reassignment Care Compare group
• Rd 207, LLC

  • Registered Dietitian
  • Bangor, ME
  • NPI 1043830904

  Dietitian, Registered

  NPD
• St. Joseph Ambulatory Care Inc

  • Medical Specialty Clinic/Center
  • Bangor, ME
  • NPI 1184678088
  NPD (past)
• St. Joseph Hospital

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1154321545
  NPD (past)

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1578800397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 UNION ST STE 11",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013039",
            "telephone_number": "207-973-7334",
            "fax_number": "207-973-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BROADWAY BLDG 3",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-907-1187",
            "fax_number": "207-907-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "KAILEIGH",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RD CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI1186",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "TD1145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAILEIGH",
            "last_name": "DUYM",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Luke Pontolillo, M.D.
• Christina Marie Pool, MS, CGC
• Henrietta S Poons, LCPC
• Matthew Popovich, PA-C
• Frederick Port, DMD
• Patti Ann Porter, RNC
• Sara Porter, LCSW
• Tabitha Portera, LCPC
• Anthony W Posuniak, FNP-BC
• Erik Ross Potter, LMSW-CC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.