AMY J MCCLELLAN (NPI# 1639400088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639400088 |
| Entity Type | Individual |
| Full Name | AMY J MCCLELLAN |
| Credential | RD |
| Practice Address |
202 Bolt Hill Rd Eliot ME 03903-1932 |
| Mailing Address |
Po Box 1102 Portsmouth NH 03802-1102 |
| Practice Telephone | 6038285188 |
| Practice Fax Number | 2077030454 |
| Mailing Telephone | 6038285188 |
| Mailing Fax Number | 2077030454 |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 555 | NH | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | DI935 | ME | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003182569 | Amy M Mcclellan | Occupational Therapy Assistant | 114 S 20th Ave W, Suite A, Duluth, MN 55806-3526 | 2012-03-29 |
| 1407136732 | Amy R Mcclellan | Nurse Practitioner | 52 Water St, Thurmont, MD 21788-1912 | 2011-08-18 |
| 1962736181 | Amy Marie Mcclellan | Nurse Practitioner | 1102 Barclay St, San Antonio, TX 78207-7161 | 2009-09-21 |
| Street Address |
202 BOLT HILL RD |
| City | ELIOT |
| State | ME |
| Zip Code | 03903-1932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497385801 | Cynthia Ellen Pray | Counselor | 178 Harold Dow Highway Suite 10, Route 236, Eliot, ME 03903 | 2020-01-24 |
| 1417348053 | Theresa Louise Bevins | Dental Hygienist | 17 Levesque Drive, Suite 3, Kingston Family Dental, Eliot, ME 03903 | 2015-02-17 |
| 1003214602 | Diane Schroeder | Chiropractor | 33 Levesque Dr Ste B, Eliot, ME 03903 | 2014-12-12 |
| 1386732832 | Jody Anne Ferreira | Chiropractor | 6 Seeley Ln, Eliot, ME 03903 | 2006-10-10 |
| 1225121726 | William Coomey | Internal Medicine | 17 Levesque Drive, Eliot, ME 03903 | 2006-10-02 |
| 1508259151 | Jennifer Carr Wilber | Dental Hygienist | 17 Levesque Drive, Suite 3, Eliot, ME 03903 | 2015-03-06 |
| 1164661955 | Sport, Spine & Rehab, LLC | Chiropractor | 28 Levesque Dr, Suite 9, Eliot, ME 03903 | 2009-02-18 |
| 1467532036 | Scott Tavares Ferreira | Chiropractor | 6 Seeley Ln, Eliot, ME 03903 | 2006-10-17 |
| 1992711014 | Jeanne Marie Taylor | Counselor | 178 Dow Highway, Suite 6, Eliot, ME 03903 | 2006-07-31 |
| 1396911210 | Bernard D Dicredico Jr. | Pharmacist | 17 Hill Dr, Eliot, ME 03903-1009 | 2008-04-30 |
| Find all providers in zip 03903 | ||||
| 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 |
|---|---|---|---|---|
| 1902182306 | Christina Rose Alme | Dietitian, Registered | 178 Harold L Dow Hwy Ste 2, Eliot, ME 03903-2047 | 2011-10-30 |
| 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 | ||||
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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.