Active NPIIndividual providerSole proprietor

Nicole Theriault, RD, LD

Dietitian, Registered in Presque Isle, Maine

NPI Number1962593665
Practice location
140 Academy St, Presque Isle, ME 04769-3102
Fax
—
Last updated
June 3, 2026

Nicole Theriault is a Dietitian, Registered based in Presque Isle, ME. Nicole Theriault practices in Presque Isle, ME and has the professional credentials of RD, LD. The NPI Number for Nicole Theriault is 1962593665 and holds a License No. D1710 (ME). The current practice location address for Nicole Theriault is 140 Academy St, Presque Isle, ME 04769-3102 and can be reached out via phone at 207-768-4358.

Provider Profile Details

NPI Number
1962593665
Provider Name
Nicole Theriault
Credential
RD, LD
Provider Entity Type
Individual
Gender
Female
Address
140 Academy St, Presque Isle, ME 04769-3102
Phone Number
207-768-4358
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 27, 2006
Last Update Date
June 3, 2026
Certification Date
June 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Academy St
Presque Isle, ME 04769-3102
State
Maine
Zip
04769-3102
Phone Number
207-768-4358
Presque Isle, ME 04769Get directions →

Provider Business Mailing Address Details

Address
39 Echo Lake RD
Presque Isle, ME 04769-5252
City
Presque Isle
State
ME
Zip
04769-5252

License Information

License Number
D1710
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 Nicole Theriault, RD, LD?

The NPI number of Nicole Theriault, RD, LD is 1962593665. It was assigned on September 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Nicole Theriault, RD, LD?

Nicole Theriault, RD, LD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in ME under license number D1710.

Where does Nicole Theriault, RD, LD practice?

The practice location is 140 Academy St, Presque Isle, ME 04769-3102. The office can be reached at 207-768-4358 (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 1962593665 directly on the NPPES registry website.

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