Active NPI
Jacqueline Robilliard Rd Cde LLC Nutrition Care Center
- Registered Dietitian
- Augusta, ME
National Provider Identifier
1902403454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jacqueline J Robilliard, RDN, CDE
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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 DirectoryLocations
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.