Active NPI
Elizabeth A Gallagher, RD
- Registered Dietitian
- Augusta, ME
National Provider Identifier
1669819686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI1092
- Practice address
- 6 E Chestnut St
Augusta, ME 04330-5758 - Phone
- (207) 626-1078
- NPI assigned
- May 31, 2013
- 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 | DI1092 | ME | Primary |
Addresses
Primary practice location
6 E Chestnut St
Augusta, ME 04330-5758
Mailing address
157 Capitol St
Augusta, ME 04330-6231
Phone (207) 621-9320
Other names 1
- Elizabeth Bancroft
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190131000164 | ME | Practitioner - Registered Dietitian Or Nutrition Professional | 2860739752 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- University of Nevada School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainegeneral Medical Center
Practice addresses (Care Compare)
6 E Chestnut St
Augusta, ME 04330-5758
Phone (207) 621-1000
Hospital & facility affiliations
- Maine General Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.22 of 100
- Quality
- 75.39
- Promoting interoperability
- 84
- Improvement activities
- 40
- Cost
- 75.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients |
Locations
157 Capitol St
Augusta, ME 04330
Phone (207) 621-9320
6 E Chestnut St
Augusta, ME 04330
Phone (207) 626-1236
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Organizations & group practices 4
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.
-
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
-
- Family Medicine Physician
- Augusta, ME
- NPI 1063716710
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1174858278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544745600000",
"number": "1669819686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 CAPITOL ST",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043306231",
"telephone_number": "207-621-9320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 E CHESTNUT ST",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043305758",
"telephone_number": "207-626-1078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-31",
"last_updated": "2018-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ME",
"license": "DI1092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "BANCROFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.