Rebecca Sprague, MS, RDN, LD
Individual provider Active NPI Registered Dietitian · Saco, ME
NPI 1770122020 · NPPES record last updated Jan 4, 2020
Key facts
- NPI
- 1770122020
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DI1502 (ME)
- Practice address
- 329 North St
Saco, ME 04072-1899 - Phone
- (207) 284-5953
- NPI assigned
- Jan 4, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI1502 | ME | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Common Beet Nutrition Counseling, LLC | Dietitian, Registered | Current | Accepting new patients |
| Saco Sport & Fitness | Past |
Accepting new patients | |
| Saco Sport and Fitness | Dietitian, Registered | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI1502 | ME | Yes |
Addresses
Primary practice location
329 North St
Saco, ME 04072-1899
Mailing address
329 North St
Saco, ME 04072-1899
Phone (207) 284-5953
Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.