Active NPIIndividual providerSole proprietor

Samantha Bailey, RDN

Dietitian, Registered in Portland, Maine

NPI Number1336716547
Practice location
805 Stevens Ave, Portland, ME 04103-2647
Fax
—
Last updated
April 24, 2023

Samantha Bailey is a Dietitian, Registered based in Portland, ME. Samantha Bailey practices in Portland, ME and has the professional credentials of RDN. The NPI Number for Samantha Bailey is 1336716547 and holds a License No. DI1581 (ME). The current practice location address for Samantha Bailey is 805 Stevens Ave, Portland, ME 04103-2647 and can be reached out via phone at 207-772-6279.

Provider Profile Details

NPI Number
1336716547
Provider Name
Samantha Bailey
Credential
RDN
Provider Entity Type
Individual
Gender
Female
Address
805 Stevens Ave, Portland, ME 04103-2647
Phone Number
207-772-6279
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 7, 2021
Last Update Date
April 24, 2023
Certification Date
April 24, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
805 Stevens Ave
Portland, ME 04103-2647
State
Maine
Zip
04103-2647
Phone Number
207-772-6279
Portland, ME 04103Get directions →

Provider Business Mailing Address Details

Address
66 Birchwood RD
Gray, ME 04039-7761
City
Gray
State
ME
Zip
04039-7761

License Information

Taxonomy (1)
Nutritionist · 133N00000X
License Number (2)
DI1581
License State (2)
ME
Taxonomy (2)
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samantha Bailey, RDN?

The NPI number of Samantha Bailey, RDN is 1336716547. It was assigned on June 7, 2021 and is currently active in the NPPES registry.

What is the specialty of Samantha Bailey, RDN?

Samantha Bailey, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in ME under license number DI1581.

Where does Samantha Bailey, RDN practice?

The practice location is 805 Stevens Ave, Portland, ME 04103-2647. The office can be reached at 207-772-6279 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336716547 directly on the NPPES registry website.

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