Active NPIIndividual providerSole proprietor

Amy J Mcclellan, RD

Dietitian, Registered in Eliot, Maine

NPI Number1639400088
Practice location
202 Bolt Hill RD, Eliot, ME 03903-1932
Fax
207-703-0454
Last updated
January 25, 2010

Amy J Mcclellan is a Dietitian, Registered based in Eliot, ME. Amy J Mcclellan practices in Eliot, ME and has the professional credentials of RD. The NPI Number for Amy J Mcclellan is 1639400088 and holds a License No. DI935 (ME). The current practice location address for Amy J Mcclellan is 202 Bolt Hill RD, Eliot, ME 03903-1932 and can be reached out via phone at 603-828-5188 and via fax at 207-703-0454.

Provider Profile Details

NPI Number
1639400088
Provider Name
Amy J Mcclellan
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
202 Bolt Hill RD, Eliot, ME 03903-1932
Phone Number
603-828-5188
Fax Number
207-703-0454
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 25, 2010
Last Update Date
January 25, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
202 Bolt Hill RD
Eliot, ME 03903-1932
City
Eliot
State
Maine
Zip
03903-1932
Phone Number
603-828-5188
Fax Number
207-703-0454
Eliot, ME 03903Get directions →

Provider Business Mailing Address Details

Address
Po Box 1102
Portsmouth, NH 03802-1102
City
Portsmouth
State
NH
Zip
03802-1102
Phone Number
603-828-5188
Fax Number
207-703-0454

License Information

License Number (1)
DI935
License State (1)
ME
Taxonomy (1)
Dietitian, Registered · 133V00000X · Primary
License Number (2)
555
License State (2)
NH
Taxonomy (2)
Dietitian, Registered · 133V00000X

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 Amy J Mcclellan, RD?

The NPI number of Amy J Mcclellan, RD is 1639400088. It was assigned on January 25, 2010 and is currently active in the NPPES registry.

What is the specialty of Amy J Mcclellan, RD?

Amy J Mcclellan, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in ME under license number DI935.

Where does Amy J Mcclellan, RD practice?

The practice location is 202 Bolt Hill RD, Eliot, ME 03903-1932. The office can be reached at 603-828-5188 (phone) or 207-703-0454 (fax).

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 1639400088 directly on the NPPES registry website.

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