Julie S Barnes, RD
Individual provider Active NPI Registered Dietitian · Scarborough, ME
NPI 1821117201 · NPPES record last updated Apr 25, 2017
Key facts
- NPI
- 1821117201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- D1699 (ME)
- Practice address
- 175 US Route 1
Scarborough, ME 04074-9048 - Phone
- (207) 396-7700
- Fax
- (207) 396-7701
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050622000612 | ME | Practitioner - Registered Dietitian Or Nutrition Professional | 0547205304 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current |
Accepting new patients | |
| Maine Medical Partners | Dietitian, Registered | Current |
Accepting new patients |
| Maine Medical Partners | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current |
Accepting new patients | |
| Mainehealth | Past | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
887 Congress St
Ste 100
Portland, ME 04102
Phone (207) 662-5522
190 Riverside St
Unit 6B
Portland, ME 04103
175 US Route 1
Scarborough, ME 04074
Phone (207) 396-7700
1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360
584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D1699 | ME | Yes |
Addresses
Primary practice location
175 US Route 1
Scarborough, ME 04074-9048
Mailing address
190 Riverside St
Suite 6B
Portland, ME 04103-1073
Phone (207) 661-2000
NPI Registry JSON
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1821117201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 RIVERSIDE ST",
"address_2": "SUITE 6B",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041031073",
"telephone_number": "207-661-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 US ROUTE 1",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040749048",
"telephone_number": "207-396-7700",
"fax_number": "207-396-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "JULIE",
"middle_name": "S",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ME",
"license": "D1699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarborough, ME
- Alden Balboni
- Nancy A. Ball
- Angela M. Barbato
- Christine Barber
- Brianne Barker
- Bernadette V Barnum
- Shannon Barrows
- Lisa Ann Barry
- Konrad N.M. Barth
- Kathleen Ann Bartlett
All providers in Scarborough, ME · Registered Dietitian in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.