Active NPI
Alexandra Jane Jungbluth, RDN
- Registered Dietitian
- West Bath, ME
National Provider Identifier
1699462200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI1783
- Practice address
- 50 Birch Ledges Dr
West Bath, ME 04530-6814 - Phone
- (415) 302-7446
- NPI assigned
- Apr 24, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI1783 | ME | Primary |
Addresses
Primary practice location
50 Birch Ledges Dr
West Bath, ME 04530-6814
Mailing address
50 Birch Ledges Dr
West Bath, ME 04530-6814
Phone (415) 302-7446
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Area Agency on Aging | Current | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
1 Weston Ct
Ste 109
Augusta, ME 04330
Phone (207) 620-1660
Organizations & group practices 2
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.
-
- In Home Supportive Care Agency
- Augusta, ME
- NPI 1245568732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1699462200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 BIRCH LEDGES DR",
"city": "WEST BATH",
"state": "ME",
"postal_code": "045306814",
"telephone_number": "415-302-7446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BIRCH LEDGES DR",
"city": "WEST BATH",
"state": "ME",
"postal_code": "045306814",
"telephone_number": "415-302-7446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNGBLUTH",
"first_name": "ALEXANDRA",
"middle_name": "JANE",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-24",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ME",
"license": "DI1783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bath, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.