Active NPI
Nutrition Works,LLC
- Registered Dietitian
- Portland, ME
National Provider Identifier
1851302145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NUTRITION WORKS,LLC
- Practice address
- 805 Stevens Ave
Portland, ME 04103-2626 - Phone
- (207) 772-6279
- Fax
- (207) 772-6279
- NPI assigned
- Aug 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan A. Quimby, R.D.,L.D.
- Title
- Manager
- Phone
- (207) 772-6279
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
805 Stevens Ave
Portland, ME 04103-2626
Mailing address
805 Stevens Ave
Portland, ME 04103-2626
Phone (207) 772-6279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
805 Stevens Ave
Portland, ME 04103
Phone (207) 772-6279
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Portland, ME
- NPI 1295741692
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352851200000",
"number": "1851302145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 STEVENS AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032626",
"telephone_number": "207-772-6279",
"fax_number": "207-772-6279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 STEVENS AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032626",
"telephone_number": "207-772-6279",
"fax_number": "207-772-6279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRITION WORKS,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-11",
"last_updated": "2012-11-14",
"status": "A",
"authorized_official_last_name": "QUIMBY",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "207-772-6279",
"authorized_official_credential": "R.D.,L.D."
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.