Organization Active NPI

Jacqueline Robilliard Rd Cde LLC Nutrition Care Center

  • Registered Dietitian
  • Augusta, ME
National Provider Identifier
1902403454
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
JACQUELINE ROBILLIARD RD CDE LLC NUTRITION CARE CENTER
Practice address
219 Cony Rd
Augusta, ME 04330-0502
Phone
(207) 622-0822
Fax
(207) 512-8663
NPI assigned
Oct 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Authorized official

Name
Mrs. Jacqueline J Robilliard, RDN, CDENPI 1922040369
Title
Owner
Phone
(207) 622-0822

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 Primary

Addresses

Primary practice location

219 Cony Rd
Augusta, ME 04330-0502

Mailing address

219 Cony Rd
Augusta, ME 04330-0502
Phone (207) 622-0822

National Provider Directory

National Provider Directory

Locations

219 Cony Rd
Augusta, ME 04330
Phone (207) 622-0822

Practitioners & affiliated clinicians

Practitioners 1

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": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1902403454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 CONY RD",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043300502",
            "telephone_number": "207-622-0822",
            "fax_number": "207-512-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 CONY RD",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043300502",
            "telephone_number": "207-622-0822",
            "fax_number": "207-512-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE ROBILLIARD RD CDE LLC NUTRITION CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "ROBILLIARD",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-622-0822",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN, CDE"
    },
    "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 Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.