INTEGRAL NUTRITION, LLC (NPI# 1154847721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154847721 |
| Entity Type | Organization |
| Organization Name | INTEGRAL NUTRITION, LLC |
| Practice Address |
59 Baltimore Avenue South Portland ME 04106 |
| Mailing Address |
59 Baltimore Ave South Portland ME 04106-4451 |
| Practice Telephone | 2075583433 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | MADELINE HOWARD (OWNER) |
| Authorized Official Telephone | 2075583433 |
| Authorized Official Credential | MS, RD, LD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI1270 | ME | Dietary & Nutritional Service Providers |
| Street Address |
59 BALTIMORE AVENUE |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| 1548617780 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 54 Rumery, Industrial Park, Portland, ME 04106 | 2016-05-18 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316486228 | Madeline Howard | Dietitian, Registered | 59 Baltimore Ave, South Portland, ME 04106-4451 | 2017-02-13 |
| 1467745992 | Megan B Swift | Dietitian, Registered | 41 Donald B Dean Dr Ste A, South Portland, ME 04106-3252 | 2011-05-17 |
| 1548447782 | Janet Steady | Dietitian, Registered | 11 Vista Dr, South Portland, ME 04106-6894 | 2008-01-30 |
| 1487255675 | Kathryn Cutting | Dietitian, Registered | 41 Donald B Dean Dr, South Portland, ME 04106-3252 | 2020-11-04 |
| 1881249415 | Jennifer Minieri | Dietitian, Registered | 41 Donald B Dean Dr, South Portland, ME 04106-3252 | 2019-08-09 |
| 1366989824 | Moira Burke | Dietitian, Registered | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2017-01-23 |
| 1285040584 | Erin E. Miller | Dietitian, Registered | 41 Donald B Dean Dr Ste A, South Portland, ME 04106-3252 | 2014-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403454 | Jacqueline Robilliard Rd Cde LLC Nutrition Care Center | Dietitian, Registered | 219 Cony Rd, Augusta, ME 04330-0502 | 2020-10-07 |
| 1891392312 | Donna Lynn Walsh | Dietitian, Registered | 10 Stagecoach Rd, Liberty, ME 04949-3133 | 2020-10-07 |
| 1407463888 | Ria Kathleen Saunders | Dietitian, Registered | 219 Cony Rd # 1, Augusta, ME 04330-0502 | 2020-09-29 |
| 1164048260 | Katherine Alexis Davenport | Dietitian, Registered | 126 Wiley Rd Apt B2, Greene, ME 04236-3477 | 2020-06-24 |
| 1407476351 | Tara Gould | Dietitian, Registered | 6 State St Ste 607, Bangor, ME 04401-5140 | 2020-04-21 |
| 1497395081 | Common Beet Nutrition Counseling, LLC | Dietitian, Registered | 21 Simpson Rd, Saco, ME 04072-9554 | 2020-01-10 |
| 1245873868 | Lori A Kaley | Dietitian, Registered | 689 Wings Mills Rd, Mount Vernon, ME 04352-3807 | 2019-10-27 |
| 1225688195 | Brianna Nicole Fortin | Dietitian, Registered | 120 Main St # 113, Saco, ME 04072-3527 | 2019-09-12 |
| 1629636725 | Andrea Paul | Dietitian, Registered | 33 Tucker Ave, Portland, ME 04103-1422 | 2019-06-03 |
| 1477018430 | Kim David | Dietitian, Registered | 13 Buds Trl, Cumberland, ME 04021-3162 | 2019-02-04 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.