Marybeth Judy, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D1408 Issued in ME

Practice address

21 School House Rd Ste 14
Orland, ME 04472-3966

Phone

(207) 752-2341

Fax

(855) 752-0261

NPI assigned

Apr 17, 2007

Last updated

Jan 8, 2021By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• The Fearless Fork, Inc.

  • Registered Dietitian
  • Orland, ME
  • NPI 1265885529
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1790901197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SCHOOL HOUSE RD STE 14",
            "city": "ORLAND",
            "state": "ME",
            "postal_code": "044723966",
            "telephone_number": "207-752-2341",
            "fax_number": "855-752-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SCHOOL HOUSE RD STE 14",
            "city": "ORLAND",
            "state": "ME",
            "postal_code": "044723966",
            "telephone_number": "207-752-2341",
            "fax_number": "855-752-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDY",
        "first_name": "MARYBETH",
        "name_prefix": "Ms.",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "D1408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790901197",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "D1408",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan Roberta Duplessis, LCPC
• H.O.M.E., Inc.
• Samuel Todd Hughes, LCPC
• Joyce Ann Jantz
• Heather Jellison
• Arthur Maguire, RPH.
• Corinne Lee Malenfant, FNP-BC
• School House Health PLLC
• The Fearless Fork, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.