Tracy Cardelli, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D1438 Issued in ME

Practice address

39 Wallace Ave
So Portland, ME 04106-6143

Phone

(207) 761-0650

Fax

(207) 761-8198

NPI assigned

Jun 7, 2006

Last updated

Jun 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mainehealth Care at Home

  dba MaineHealth Home Health and Hospice

  • Home Health Agency
  • Saco, ME
  • NPI 1275510844
  NPD (past)
• Mainehealth Care at Home

  dba MaineHealth Home Health and Hospice

  • Community Based Hospice Care Agency
  • Rockport, ME
  • NPI 1376514224
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1962442368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 CONGRESS ST",
            "address_2": "SUITE 320",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023100",
            "telephone_number": "207-662-5522",
            "fax_number": "207-662-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 WALLACE AVE",
            "city": "SO PORTLAND",
            "state": "ME",
            "postal_code": "041066143",
            "telephone_number": "207-761-0650",
            "fax_number": "207-761-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDELLI",
        "first_name": "TRACY",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "D1438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgen M Buehner, MD
• Karen Fagan, PTA
• Lisa Favreau, ATC
• Food Addiction Chemical Dependency Consultants LLC
• Matthew Henry Hayn, M.D.
• Patricia A Lerwick, MD

• Registered Dietitian in So Portland, ME
• Providers in So Portland, ME by specialty
• Registered Dietitian in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.