Organization Active NPI

Nourished Lifestyles, LLC

  • Registered Dietitian
  • Scarborough, ME
National Provider Identifier
1902329766
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI1103 Issued in ME
Legal business name
NOURISHED LIFESTYLES, LLC
Practice address
7 Oak Hill Ter Ste 215
Scarborough, ME 04074-8996
Phone
(207) 835-1566
Fax
(207) 636-8107
NPI assigned
Jul 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leslie Ouellette-Todd, RDN, LDNPI 1801319660
Title
President
Phone
(207) 837-4473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DI1103 ME Primary

Addresses

Primary practice location

7 Oak Hill Ter Ste 215
Scarborough, ME 04074-8996

Mailing address

7 Oak Hill Ter Ste 215
Scarborough, ME 04074-8996
Phone (207) 835-1566

National Provider Directory

National Provider Directory

Locations

7 Oak Hill Ter
Ste 215
Scarborough, ME 04074

7 Oak Hill Ter
Scarborough, ME 04074
Phone (207) 289-1010

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1902329766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OAK HILL TER STE 215",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748996",
            "telephone_number": "207-835-1566",
            "fax_number": "207-636-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OAK HILL TER STE 215",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748996",
            "telephone_number": "207-835-1566",
            "fax_number": "207-636-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED LIFESTYLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "OUELLETTE-TODD",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-837-4473",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI1103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.