Active NPI
Angela Verrill, RDN
- Registered Dietitian
- Portland, ME
National Provider Identifier
1659795318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI 1192
- Practice address
- 144 State St
Dept of Clinical Nutrition
Portland, ME 04101-3776 - Phone
- (207) 879-3597
- NPI assigned
- Feb 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI 1192 | ME | Primary |
Addresses
Primary practice location
144 State St
Dept of Clinical Nutrition
Portland, ME 04101-3776
Mailing address
144 State St
Portland, ME 04101-3776
Phone (207) 879-3597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI 1192 | ME | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392336000000",
"number": "1659795318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 STATE ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013776",
"telephone_number": "207-879-3597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 STATE ST",
"address_2": "DEPT OF CLINICAL NUTRITION",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013776",
"telephone_number": "207-879-3597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERRILL",
"first_name": "ANGELA",
"name_prefix": "Mrs.",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-14",
"last_updated": "2014-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ME",
"license": "DI 1192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.