Caroline Bennett, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI2052 Issued in ME

Practice address

92 Winter St Apt 1
Portland, ME 04102-5328

Phone

(207) 400-2275

NPI assigned

Nov 7, 2024

Last updated

Nov 18, 2024By 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

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)

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1740003672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 WINTER ST APT 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041025328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 WINTER ST APT 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041025328",
            "telephone_number": "207-400-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CAROLINE",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI2052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James G Bennas, DMD
• Erin Dawn Benner, LCSW
• Nathan Richard Benner, MD
• Rhonda L Benner, LCSW
• Meredith A Bennet, MD
• Christine A Bennett, MD
• Debra Lyn Bennett, RDH
• Deirdre L Bennett, NP, CNM
• Jean C Bennett, LCSW
• Johanna Kathleen Bennett, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.