Active NPI
Lauren Withers
- Registered Dietitian
- Yarmouth, ME
National Provider Identifier
1932585213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI1267
- Practice address
- 40 Forest Falls Dr Ste 305
Yarmouth, ME 04096-7010 - Phone
- (207) 977-4700
- Fax
- (207) 977-4900
- NPI assigned
- Aug 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI1267 | ME | Primary |
Addresses
Primary practice location
40 Forest Falls Dr Ste 305
Yarmouth, ME 04096-7010
Mailing address
3 Halcyon Dr
Freeport, ME 04032-5332
Phone (207) 317-6466
Other practice location 1
174 S Freeport Rd Ste 2A
Freeport, ME 04032-6145
Phone (207) 977-4700 ext. 2
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI1267 | ME | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Roots Nutrition Counseling, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
174 S Freeport Rd
Ste 2A
Freeport, ME 04032
Phone (207) 869-9010
40 Forest Falls Dr
Ste 305
Yarmouth, ME 04096
Phone (207) 977-4700
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Dietitian
- Yarmouth, ME
- NPI 1427728773
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1932585213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HALCYON DR",
"city": "FREEPORT",
"state": "ME",
"postal_code": "040325332",
"telephone_number": "207-317-6466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 FOREST FALLS DR STE 305",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "040967010",
"telephone_number": "207-977-4700",
"fax_number": "207-977-4900"
}
],
"practiceLocations": [
{
"address_1": "174 S Freeport Rd Ste 2A",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "ME",
"postal_code": "040326145",
"country_code": "US",
"telephone_number": "207-977-4700 x2",
"fax_number": "207-977-4900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WITHERS",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-10",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ME",
"license": "DI1267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yarmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.