MOIRA BURKE


Address: 100 Brickhill Ave, South Portland, ME 04106-1999
Phone: 2077731728

MOIRA BURKE (NPI# 1366989824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366989824
Entity Type Individual
Full Name MOIRA BURKE
Credential R.D.
Practice Address 100 Brickhill Ave
South Portland
ME 04106-1999
Mailing Address 190 Riverside St
Suite 6b
Portland
ME 04103-1073
Practice Telephone 2077731728
Mailing Telephone 2076612000
Enumeration Date 2017-01-23
Last Update Date 2017-04-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered DI1337 ME Dietary & Nutritional Service Providers

Other Providers MOIRA BURKE

NPI Name Taxonomy Address Enumeration
1881667913 Moira Jeanne Burke Ophthalmology 13000 Bruce B Downs Blvd, Suite130, Tampa, FL 33612-4745 2006-02-09

Office Location

Street Address 100 BRICKHILL AVE
City SOUTH PORTLAND
State ME
Zip Code 04106-1999

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609877828 Wayne D Westland Physician Assistant 100 Brickhill Ave, South Portland, ME 04106-1999 2005-08-10
1689217903 Natalia Valentinovna Tonseth Nurse Practitioner 100 Brickhill Ave, South Portland, ME 04106-1999 2019-10-18
1427691765 Sarah Melissa Carter Registered Nurse 100 Brickhill Ave, South Portland, ME 04106-1999 2019-10-18
1801318654 Abdul Rahman Qani Physician Assistant 100 Brickhill Ave, South Portland, ME 04106-1999 2017-07-13
1639622756 Courtney Myles Nurse Practitioner 100 Brickhill Ave, South Portland, ME 04106-1999 2016-07-25
1700258779 Portland Community Health Center Clinic/Center 100 Brickhill Ave, South Portland, ME 04106-1999 2015-10-29
1255703955 Christopher Nilsson Physician Assistant 100 Brickhill Ave, South Portland, ME 04106-1999 2015-10-21
1790156792 Deirdre Sulka-meister Fnp LLC Point of Service 100 Brickhill Ave, Ste 304, South Portland, ME 04106-1999 2015-10-15
1417350901 Melissa N Libby Fnp LLC Point of Service 100 Brickhill Ave, Suite 304, South Portland, ME 04106-1999 2014-09-29
1578806832 Sanchita Bose Urology 100 Brickhill Ave, South Portland, ME 04106 2013-04-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912513748 Rayna Louise Sage Behavior Technician 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 2020-09-17
1972127330 Scott M Davis Md LLC Internal Medicine 89 Cannon Road, South Portland, ME 04106 2020-06-02
1568013936 Clara Cassidy Behavior Technician 50 Donald Bean Dr, Ste B, South Portland, ME 04106 2019-09-26
1336614346 Kari Whitney Nurse Practitioner Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 2018-10-05
1588152193 Kristen F. Pierce Counselor 100 Waterman Drive, Suite 201, South Portland, ME 04106 2018-04-30
1649779224 Jennifer Rene Johnson Social Worker 135 Westbrook St, South Portland, ME 04106 2018-02-08
1154847721 Integral Nutrition, LLC Dietitian, Registered 59 Baltimore Avenue, South Portland, ME 04106 2017-08-16
1730619610 John Preston Powell Psychiatry & Neurology 68 B Street Apt 4, South Portland, ME 04106 2017-06-14
1649706268 Gisselle Mani Student in an Organized Health Care Education/Training Program 30 Lydia Ln Apt 2115, South Portland, ME 04106 2017-05-02
1245786987 Jonathan Frank Olmes Optometrist 335 Maine Mall Rd., South Portland, ME 04106 2016-09-01
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154847721 Integral Nutrition, LLC Dietitian, Registered 59 Baltimore Avenue, South Portland, ME 04106 2017-08-16
1316486228 Madeline Howard Dietitian, Registered 59 Baltimore Ave, South Portland, ME 04106-4451 2017-02-13
1467745992 Megan B Swift Dietitian, Registered 41 Donald B Dean Dr Ste A, South Portland, ME 04106-3252 2011-05-17
1548447782 Janet Steady Dietitian, Registered 11 Vista Dr, South Portland, ME 04106-6894 2008-01-30
1487255675 Kathryn Cutting Dietitian, Registered 41 Donald B Dean Dr, South Portland, ME 04106-3252 2020-11-04
1881249415 Jennifer Minieri Dietitian, Registered 41 Donald B Dean Dr, South Portland, ME 04106-3252 2019-08-09
1285040584 Erin E. Miller Dietitian, Registered 41 Donald B Dean Dr Ste A, South Portland, ME 04106-3252 2014-07-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902403454 Jacqueline Robilliard Rd Cde LLC Nutrition Care Center Dietitian, Registered 219 Cony Rd, Augusta, ME 04330-0502 2020-10-07
1891392312 Donna Lynn Walsh Dietitian, Registered 10 Stagecoach Rd, Liberty, ME 04949-3133 2020-10-07
1407463888 Ria Kathleen Saunders Dietitian, Registered 219 Cony Rd # 1, Augusta, ME 04330-0502 2020-09-29
1164048260 Katherine Alexis Davenport Dietitian, Registered 126 Wiley Rd Apt B2, Greene, ME 04236-3477 2020-06-24
1407476351 Tara Gould Dietitian, Registered 6 State St Ste 607, Bangor, ME 04401-5140 2020-04-21
1497395081 Common Beet Nutrition Counseling, LLC Dietitian, Registered 21 Simpson Rd, Saco, ME 04072-9554 2020-01-10
1245873868 Lori A Kaley Dietitian, Registered 689 Wings Mills Rd, Mount Vernon, ME 04352-3807 2019-10-27
1225688195 Brianna Nicole Fortin Dietitian, Registered 120 Main St # 113, Saco, ME 04072-3527 2019-09-12
1629636725 Andrea Paul Dietitian, Registered 33 Tucker Ave, Portland, ME 04103-1422 2019-06-03
1477018430 Kim David Dietitian, Registered 13 Buds Trl, Cumberland, ME 04021-3162 2019-02-04
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Competitor

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City SOUTH PORTLAND
Zip Code 04106

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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