NPIMap

Organization Active NPI

Deborah Pepper-Dougherty, Rd, LD

  • Registered Dietitian
  • Cumberland Foreside, ME
National Provider Identifier
1902612690
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
DEBORAH PEPPER-DOUGHERTY, RD, LD
Practice address
22 Wildwood Blvd
Cumberland Foreside, ME 04110-1213
Phone
(207) 318-7353
Fax
(207) 781-4925
NPI assigned
Dec 6, 2024
Last updated
Apr 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Deborah Pepper-Dougherty, RDN, LDNPI 1770530263
Title
Owner/Dieitian
Phone
(207) 781-4922

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 Dietitian 133V00000X Primary

Addresses

Primary practice location

22 Wildwood Blvd
Cumberland Foreside, ME 04110-1213

Mailing address

22 Wildwood Blvd
Cumberland Foreside, ME 04110-1213
Phone (207) 318-7353

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1902612690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WILDWOOD BLVD",
            "city": "CUMBERLAND FORESIDE",
            "state": "ME",
            "postal_code": "041101213",
            "telephone_number": "207-318-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WILDWOOD BLVD",
            "city": "CUMBERLAND FORESIDE",
            "state": "ME",
            "postal_code": "041101213",
            "telephone_number": "207-318-7353",
            "fax_number": "207-781-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH PEPPER-DOUGHERTY, RD, LD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "PEPPER-DOUGHERTY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER/DIEITIAN",
        "authorized_official_telephone_number": "207-781-4922",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland Foreside, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.