JENNA M. MADORE (NPI# 1417209560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417209560 |
| Entity Type | Individual |
| Full Name | JENNA M. MADORE |
| Credential | RD |
| Practice Address |
10 High St Suite 105 Lewiston ME 04240-7653 |
| Practice Telephone | 2077955710 |
| Mailing Telephone | 2077955710 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | D11128 | ME | Dietary & Nutritional Service Providers |
| Street Address |
10 HIGH ST SUITE 105 |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-7653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265420590 | Lee G Kendall Jr. | Internal Medicine | 10 High St, Ste 204, Lewiston, ME 04240-7640 | 2005-10-11 |
| 1811387749 | Denise Gaudette | Dietitian, Registered | 10 High St, Lewiston, ME 04240-7653 | 2015-01-30 |
| 1912310442 | Christopher Charles Foote | Urology | 10 High St, Lewiston, ME 04240-7653 | 2014-06-02 |
| 1902159254 | Amanda Ettinger | Dietitian, Registered | 10 High St, Ste. 105, Lewiston, ME 04240-7653 | 2012-10-24 |
| 1144511528 | Sean D Stanhope | Internal Medicine | 10 High St, Suite 204, Lewiston, ME 04240-7653 | 2011-04-20 |
| 1366755928 | Lynn L Dumont | Nurse Practitioner | 10 High St, Ste. 301, Lewiston, ME 04240-7653 | 2010-07-23 |
| 1417260415 | Leslie Roehrig | Dietitian, Registered | 10 High St, Suite 105, Lewiston, ME 04240-7653 | 2010-07-19 |
| 1578889275 | Susan Kravetz | Dietitian, Registered | 10 High St, Ste 105, Lewiston, ME 04240-7653 | 2010-04-20 |
| 1366607384 | Ashley Edwards | Dietitian, Registered | 10 High St, Suite 105, Lewiston, ME 04240-7653 | 2008-07-21 |
| 1760659940 | John William Cooper Jr. | Specialist/Technologist, Other | 10 High St, Suite 105, Lewiston, ME 04240-7653 | 2008-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528346046 | John D Bosse | Dietitian, Registered | 18 Orleans St, Lewiston, ME 04240-4334 | 2011-08-01 |
| 1669525887 | Brooke L Beal | Dietitian, Registered | 97 Campus Ave Ste 2, Lewiston, ME 04240-6077 | 2007-01-19 |
| 1447861778 | Lauren Keeney | Dietitian, Registered | 1014 Burrell Ave, Lewiston, ID 83501-5472 | 2020-08-11 |
| 1811519788 | Daniel Shaw | Dietitian, Registered | 300 Main St, Lewiston, ME 04240-7027 | 2020-05-13 |
| 1548891237 | Ellen Shrader | Dietitian, Registered | 300 Main St, Lewiston, ME 04240-7027 | 2020-01-31 |
| 1588295828 | Allison Bruno | Dietitian, Registered | 300 Main St, Lewiston, ME 04240-7027 | 2020-01-27 |
| 1598238115 | Tammy A Hutchisen | Dietitian, Registered | 10 High St Ste 105, Lewiston, ME 04240-7640 | 2019-01-07 |
| 1255889010 | Jennifer Mcgahey | Dietitian, Registered | 198 Main St, Suite A, Lewiston, ME 04240-7074 | 2016-09-21 |
| 1225496508 | Rachel Mcgarry | Dietitian, Registered | 963 Sabattus St, Lewiston, ME 04240-3332 | 2016-02-02 |
| 1811387749 | Denise Gaudette | Dietitian, Registered | 10 High St, Lewiston, ME 04240-7653 | 2015-01-30 |
| Find all providers in LEWISTON | ||||
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| 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.