Active NPI
Growing Wild
- Registered Dietitian
- Ellsworth, ME
National Provider Identifier
1609682848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- GROWING WILD
- Practice address
- 194 Main St Ste 104
Ellsworth, ME 04605-1939 - Phone
- (207) 813-4792
- NPI assigned
- Dec 3, 2024
- Last updated
- Apr 6, 2025
- 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
- Anna Titcomb, RD
- Title
- Owner and Registered Dietitian
- Phone
- (773) 474-9630
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 | Primary |
Addresses
Primary practice location
194 Main St Ste 104
Ellsworth, ME 04605-1939
Mailing address
194 Main St Ste 104
Ellsworth, ME 04605-1939
Phone (207) 813-4792
National Provider Directory
National Provider DirectoryPractitioners & 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743897600000",
"number": "1609682848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 MAIN ST STE 104",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046051939",
"telephone_number": "207-813-4792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 MAIN ST STE 104",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046051939",
"telephone_number": "207-813-4792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROWING WILD",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-03",
"last_updated": "2025-04-06",
"certification_date": "2025-04-06",
"status": "A",
"authorized_official_last_name": "TITCOMB",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "OWNER AND REGISTERED DIETITIAN",
"authorized_official_telephone_number": "773-474-9630",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellsworth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.