Abbey Marie Watkinson, RDN, LD., MS, CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

TD864 Issued in ME

Practice address

23 Wabanaki Way
Indian Island, ME 04468-1252

Phone

(207) 817-7400

Fax

(207) 827-5022

NPI assigned

Nov 14, 2006

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

Enrolled in ME, TX2 enrollments

Enrollment records 2

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Penobscot Indian Nation Finance OfficeGroup PAC ID 1850324542, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Penobscot Indian Nation Finance Office

  dba Penobscot Nation Health Department

  • Rural Health Clinic/Center
  • Indian Island, ME
  • NPI 1639139140

  TX

  Medicare reassignment Care Compare group NPD (past)
• Micmac Health Department

  • Primary Care Clinic/Center
  • Presque Isle, ME
  • NPI 1831312313
  NPD

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1801968276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WABANAKI WAY",
            "city": "INDIAN ISLAND",
            "state": "ME",
            "postal_code": "044681252",
            "telephone_number": "207-817-7400",
            "fax_number": "207-827-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WABANAKI WAY",
            "city": "INDIAN ISLAND",
            "state": "ME",
            "postal_code": "044681252",
            "telephone_number": "207-817-7400",
            "fax_number": "207-827-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINSON",
        "first_name": "ABBEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RDN, LD., MS, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "TD864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED RD",
            "identifier": "994837",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merla Roy
• Pushpinder D Singh, DDS
• Crystal Sutton, F.N.P.
• Carolina Villalobos
• Nadine Villani, FNP
• John NMN Yasenchak, ED. D

• Registered Dietitian in Indian Island, ME
• Providers in Indian Island, 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 22, 2024; 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.