Active NPI
Kari Lane, RD, CNSC
- Registered Dietitian
- Portland, ME
National Provider Identifier
1669949517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI1318
- Practice address
- 636 Allen Ave
Portland, ME 04103-3706 - Phone
- (801) 913-7349
- NPI assigned
- Oct 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 6331040-4901 | UT | |
| Registered Dietitian | 133V00000X | DI1318 | ME | Primary |
Addresses
Primary practice location
636 Allen Ave
Portland, ME 04103-3706
Mailing address
636 Allen Ave
Portland, ME 04103-3706
Phone (801) 913-7349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
805 Stevens Ave
Portland, ME 04103-2647
Phone (207) 772-6279
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI1318 | ME | MD | Registered Dietitian |
| 6331040-4901 | UT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Works,LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
805 Stevens Ave
Portland, ME 04103
Phone (207) 772-6279
Organizations & group practices 1
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": "1540857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1669949517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 ALLEN AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041033706",
"telephone_number": "801-913-7349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 ALLEN AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041033706",
"telephone_number": "801-913-7349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "KARI",
"credential": "RD, CNSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-30",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "6331040-4901",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ME",
"license": "DI1318",
"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 Oct 30, 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.