MRS. DENISE LISE MADORE (NPI# 1396955654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396955654 |
| Entity Type | Individual |
| Full Name | MRS. DENISE LISE MADORE |
| Credential | RD, CSP, CNSC |
| Practice Address |
2 Colawicki Dr North Yarmouth ME 04097-6752 |
| Practice Telephone | 8044335682 |
| Mailing Telephone | 8044335682 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | 871573 | VA | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 004909976 | 05 |
| Street Address |
2 COLAWICKI DR |
| City | NORTH YARMOUTH |
| State | ME |
| Zip Code | 04097-6752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039772 | Russell P Graham | Physical Therapy Assistant | 1500 North Road, North Yarmouth, ME 04097 | 2020-09-28 |
| 1457680381 | Bart Samuel Marks | Counselor | 146 Cumberland Road, North Yarmouth, ME 04097 | 2009-12-24 |
| 1871985531 | Laurie Milne, Msw, Lcsw, LLC | Social Worker | 463 Gray Rd, North Yarmouth, ME 04097-6014 | 2015-03-04 |
| 1194819482 | Ramona Marie Panici | Psychologist | 27 Thunder Rd, North Yarmouth, ME 04097-6100 | 2006-10-03 |
| 1811374523 | Ramona Panici Phd LLC Pa | Psychologist | 27 Thunder Rd, North Yarmouth, ME 04097-6100 | 2015-05-01 |
| 1407268857 | Lauren Fetty | Radiology | 731 Sligo Rd, North Yarmouth, ME 04097-6207 | 2014-05-20 |
| 1952608853 | Lisa Nada Glines | Massage Therapist | 747 Sligo Rd, North Yarmouth, ME 04097-6207 | 2011-02-12 |
| 1992911655 | Town of North Yarmouth | Ambulance | 463 Walnut Hill Rd, North Yarmouth, ME 04097-6333 | 2007-05-16 |
| 1568670826 | Rodney Alan Nadeau | Social Worker | 65 Smithwood Dr, North Yarmouth, ME 04097-6525 | 2007-05-19 |
| 1033604814 | Joseph Richard Fitzpatrick | Psychologist | 88 Cumberland Rd, North Yarmouth, ME 04097-6544 | 2018-06-25 |
| Find all providers in zip 04097 | ||||
| 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 |
|---|---|---|---|---|
| 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 | NORTH YARMOUTH |
| Zip Code | 04097 |
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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.