Individual provider Active NPI

Joshua Palomera, MS, RD, LDN, CSN

  • Registered Dietitian
  • Yarmouth, ME
National Provider Identifier
1609586650
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI1774 Issued in ME
Practice address
253 Main St
Yarmouth, ME 04096-6800
Phone
(207) 400-6188
Fax
(866) 519-6015
NPI assigned
Nov 30, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI1774 ME Primary

Addresses

Primary practice location

253 Main St
Yarmouth, ME 04096-6800

Mailing address

204 Sabattus St Unit 1
Lewiston, ME 04240-6347
Phone (619) 857-6167

Other practice location 1

75 John Roberts Rd Bldg B
South Portland, ME 04106-6967
Phone (207) 775-4151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230505000552 ME Practitioner - Registered Dietitian Or Nutrition Professional 6709241250 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Apr 30, 2023 Accepting new patients
Mainehealth CurrentSince Apr 30, 2023 Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Partners CurrentSince Apr 30, 2023 Accepting new patients
Maine Medical Partners CurrentSince Apr 30, 2023 Accepting new patients
Kaleidoscope Eating Disorders and Diet Recovery Center Past Accepting new patients
Mainehealth Past Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

75 John Roberts Rd
Bldg B
South Portland, ME 04106
Phone (207) 662-5522

1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1609586650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SABATTUS ST UNIT 1",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406347",
            "telephone_number": "619-857-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 MAIN ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966800",
            "telephone_number": "207-400-6188",
            "fax_number": "866-519-6015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 John Roberts Rd Bldg B",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041066967",
            "country_code": "US",
            "telephone_number": "207-775-4151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALOMERA",
        "first_name": "JOSHUA",
        "credential": "MS, RD, LDN, CSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-30",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI1774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.