Robin Walters Gardiner, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI1845 Issued in ME

Practice address

50 Forest Falls Dr Ste 3
Yarmouth, ME 04096-6937

Phone

(207) 977-4700

NPI assigned

Jul 9, 2021

Last updated

Mar 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kaleidoscope Eating Disorders and Diet Recovery Center

  • Health Service Clinic/Center
  • Portland, ME
  • NPI 1356960728
  NPD (past)
• New Roots Nutrition Counseling, LLC

  dba New Roots Healing Center

  • Registered Dietitian
  • Yarmouth, ME
  • NPI 1427728773

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1720659832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FOREST FALLS DR STE 3",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966937",
            "telephone_number": "207-977-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FOREST FALLS DR STE 3",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966937",
            "telephone_number": "207-977-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "ROBIN",
        "middle_name": "WALTERS",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2023-03-08",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI1845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF LICENSING OF DIETETIC PRACTICE",
            "identifier": "DI1845",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlene Mancini Frick, LCPC
• Jessica Shinn Fromuth, M.AC., L.AC.
• Dane Frost, LCPC
• Amy Fuller, DDS
• Laura Gall, PHARMD
• Christine L Gates, MD
• Kathleen F Gensheimer, MD
• Kathleen Gerencer, L.M.T.
• Paul Gerrard, M.D.
• Rachel Barasch Gitelson, MSW, LCSW

• Registered Dietitian in Yarmouth, ME
• Providers in Yarmouth, ME by specialty
• Registered Dietitian in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.

Verify at the official NPI Registry.