Active NPIIndividual provider

Tracy Cardelli, RD

Dietitian, Registered in So Portland, Maine

NPI Number1962442368
Practice location
39 Wallace Ave, So Portland, ME 04106-6143
Fax
207-761-8198
Last updated
June 3, 2013

Tracy Cardelli is a Dietitian, Registered based in So Portland, ME. Tracy Cardelli practices in So Portland, ME and has the professional credentials of RD. The NPI Number for Tracy Cardelli is 1962442368 and holds a License No. D1438 (ME). The current practice location address for Tracy Cardelli is 39 Wallace Ave, So Portland, ME 04106-6143 and can be reached out via phone at 207-761-0650 and via fax at 207-761-8198.

Provider Profile Details

NPI Number
1962442368
Provider Name
Tracy Cardelli
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
39 Wallace Ave, So Portland, ME 04106-6143
Phone Number
207-761-0650
Fax Number
207-761-8198
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
June 7, 2006
Last Update Date
June 3, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
39 Wallace Ave
So Portland, ME 04106-6143
State
Maine
Zip
04106-6143
Phone Number
207-761-0650
Fax Number
207-761-8198
So Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
887 Congress St
Suite 320
Portland, ME 04102-3100
City
Portland
State
ME
Zip
04102-3100
Phone Number
207-662-5522
Fax Number
207-662-5527

License Information

License Number
D1438
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 Tracy Cardelli, RD?

The NPI number of Tracy Cardelli, RD is 1962442368. It was assigned on June 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Tracy Cardelli, RD?

Tracy Cardelli, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in ME under license number D1438.

Where does Tracy Cardelli, RD practice?

The practice location is 39 Wallace Ave, So Portland, ME 04106-6143. The office can be reached at 207-761-0650 (phone) or 207-761-8198 (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 1962442368 directly on the NPPES registry website.

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