Active NPI
Cvwellbeing
Doing business as CVbrands
- Registered Dietitian
- Gorham, ME
National Provider Identifier
1972151553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- CVWELLBEING
- Doing business as
- CVbrands
- Practice address
- 510 Main St
Gorham, ME 04038-1339 - Phone
- (207) 370-7787
- NPI assigned
- Aug 28, 2019
- Last updated
- Jun 16, 2021
- Organization subpart
- Yes
- Parent organization
- CVWELLBEING DBA CVBRANDS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carolyn Milles, RDN, LD
- Title
- Owner
- Phone
- (508) 965-0875
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 | NU | Primary |
Addresses
Primary practice location
510 Main St
Gorham, ME 04038-1339
Mailing address
510 Main St
Gorham, ME 04038-1339
Phone (207) 370-7787
Other names 1
- CVbrands
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Cvwellbeing
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.
-
- Registered Dietitian
- Gorham, ME
- NPI 1194245209
Dietitian, Registered
-
- Registered Dietitian
- Gorham, ME
- NPI 1902527765
-
- Registered Dietitian
- Gorham, ME
- NPI 1710553862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623801600000",
"number": "1972151553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 MAIN ST",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381339",
"telephone_number": "207-370-7787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 MAIN ST",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381339",
"telephone_number": "207-370-7787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVWELLBEING",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CVWELLBEING DBA CVBRANDS",
"enumeration_date": "2019-08-28",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A",
"authorized_official_last_name": "MILLES",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-965-0875",
"authorized_official_credential": "RDN, LD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CVbrands",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Gorham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.