Individual provider Active NPI

Deborah Pepper-Dougherty, R.D.

  • Registered Dietitian
  • Cumberland Foreside, ME
National Provider Identifier
1770530263
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI0340 Issued in ME
Practice address
22 Wildwood Blvd
Cumberland Foreside, ME 04110-1213
Phone
(207) 781-4922
Fax
(207) 781-4925
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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 DI0340 ME Primary

Addresses

Primary practice location

22 Wildwood Blvd
Cumberland Foreside, ME 04110-1213

Mailing address

22 Wildwood Blvd
Cumberland Foreside, ME 04110-1213
Phone (207) 781-4410

Other names 1

  • Deborah Ann Pepper Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050705000591 ME Practitioner - Registered Dietitian Or Nutrition Professional 6709829229 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI0340MEMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Pepper-Dougherty, Rd, LD Dietitian, Registered CurrentSince Dec 1, 2024 Accepting new patients
DPD Nutrition Consultants, Inc Dietitian, Registered CurrentSince Aug 31, 2002 Accepting new patients

Locations

15 Sky View Dr
Cumberland Foreside, ME 04110
Phone (207) 489-7000

361 US Route 1
Falmouth, ME 04105
Phone (207) 781-4830

201 Main St
Ste 5
Westbrook, ME 04092
Phone (207) 854-3663

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.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1770530263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WILDWOOD BLVD",
            "city": "CUMBERLAND FORESIDE",
            "state": "ME",
            "postal_code": "041101213",
            "telephone_number": "207-781-4410",
            "fax_number": "207-781-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WILDWOOD BLVD",
            "city": "CUMBERLAND FORESIDE",
            "state": "ME",
            "postal_code": "041101213",
            "telephone_number": "207-781-4922",
            "fax_number": "207-781-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPER-DOUGHERTY",
        "first_name": "DEBORAH",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI0340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "PEPPER",
            "middle_name": "ANN",
            "credential": "R.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumberland Foreside, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.