Active NPIIndividual provider

Jacqueline M Stevens, MS, RDN

Dietitian, Registered in Brunswick, Maine

NPI Number1679088637
Practice location
54 Cumberland St Ste 5, Brunswick, ME 04011-1829
Fax
—
Last updated
August 12, 2021

Jacqueline Matte Stevens is a Dietitian, Registered based in Brunswick, ME. Jacqueline Matte Stevens practices in Brunswick, ME and has the professional credentials of MS, RDN. The NPI Number for Jacqueline Matte Stevens is 1679088637 and holds a License No. DI1228 (ME). The current practice location address for Jacqueline Matte Stevens is 54 Cumberland St Ste 5, Brunswick, ME 04011-1829 and can be reached out via phone at 207-387-0108.

Provider Profile Details

NPI Number
1679088637
Provider Name
Jacqueline Matte Stevens
Credential
MS, RDN
Provider Entity Type
Individual
Gender
Female
Address
54 Cumberland St Ste 5, Brunswick, ME 04011-1829
Phone Number
207-387-0108
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Other Names
Jacqueline Matte Wainoris (Former Name)
Provider Enumeration Date
December 12, 2017
Last Update Date
August 12, 2021
Certification Date
January 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 Cumberland St Ste 5
Brunswick, ME 04011-1829
State
Maine
Zip
04011-1829
Phone Number
207-387-0108
Brunswick, ME 04011Get directions →

Provider Business Mailing Address Details

Address
26 Munroe Ln
Topsham, ME 04086-1229
City
Topsham
State
ME
Zip
04086-1229
Phone Number
207-649-8605

License Information

License Number
DI1228
License State
ME
Taxonomy
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 Jacqueline M Stevens, MS, RDN?

The NPI number of Jacqueline M Stevens, MS, RDN is 1679088637. It was assigned on December 12, 2017 and is currently active in the NPPES registry.

What is the specialty of Jacqueline M Stevens, MS, RDN?

Jacqueline M Stevens, MS, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in ME under license number DI1228.

Where does Jacqueline M Stevens, MS, RDN practice?

The practice location is 54 Cumberland St Ste 5, Brunswick, ME 04011-1829. The office can be reached at 207-387-0108 (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 1679088637 directly on the NPPES registry website.

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