Individual provider Active NPI

Joan Lavery-McLaughlin, RDN

  • Registered Dietitian
  • Portland, ME
National Provider Identifier
1700330909
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI951 Issued in ME
Practice address
45 Gleckler Rd
Portland, ME 04103-3429
Phone
(207) 775-2018
NPI assigned
Aug 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI951 ME Primary

Addresses

Primary practice location

45 Gleckler Rd
Portland, ME 04103-3429

Mailing address

45 Gleckler Rd
Portland, ME 04103-3429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161014000876 ME Practitioner - Registered Dietitian Or Nutrition Professional 9335437938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nutrition Works,LLCGroup PAC ID 8123091667, 5 clinicians

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Works,LLC Dietitian, Registered CurrentSince Sep 19, 2016 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": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1700330909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 GLECKLER RD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 GLECKLER RD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033429",
            "telephone_number": "207-775-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVERY-MCLAUGHLIN",
        "first_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI951",
            "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 Aug 5, 2016; 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.

Verify at the official NPI Registry.