KELLY DORIS WHITAKER RDN
NPI 1043848039
Dietitian, Registered in South Portland, ME

Q: What is Kelly Whitaker's NPI number?

The NPI number for Kelly Whitaker is 1043848039. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Q: What is Kelly Whitaker's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Whitaker was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 27, 2020Accepts Medicare Assignment

41 DONALD B DEAN DR, SOUTH PORTLAND, ME 04106(207) 661-6064 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2024, Nov 30, 2021, Mar 27, 2020 (3 updates tracked since 2020).

On this page

About Kelly Doris Whitaker Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY DORIS WHITAKER RDN (NPI 1043848039) is an individual dietitian, registered in South Portland, Maine, licensed in Maine (DI149) and active in the NPI registry since March 2020. She is affiliated with Maine Medical Center and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043848039

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameKELLY DORIS WHITAKERCredential: RDN

Location Address41 DONALD B DEAN DRSouth Portland, ME 04106-3252

Mailing Address41 Donald B Dean DrSouth Portland, ME 04106-3252 · (072) 661-6064

Phone(207) 661-6064

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 27, 2020

Last NPPES UpdateSeptember 5, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2024

✔ NPI 1043848039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in ME · DI149

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

41 DONALD B DEAN DR, South Portland, ME 04106

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Doris Whitaker Rdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486044260

PECOS Enrollment IDI20211209002661

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.28 – $169.96

Typical copayment $0.00 (range $14.07 – $42.49)

Most-billed visit code NA

Established Patient

$99.18 typical visit price

range $18.22 – $138.92

Typical copayment $24.79 (range $4.55 – $34.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL J DIEKEMA MD

Internal Medicine (Infectious Disease)

41 DONALD B DEAN DR
SOUTH PORTLAND, ME 04106

Cumberland County (207) 661-7901

KATHRYN CUTTING MS, RD, LD

Dietitian, Registered

41 DONALD B DEAN DR
SOUTH PORTLAND, ME 04106

Cumberland County (207) 661-6064

MELISSA MARIE PAGE MS, RD, CSOWM, LDN

Dietitian, Registered (Nutrition, Obesity and Weight Management)

41 DONALD B DEAN DR
SOUTH PORTLAND, ME 04106

Cumberland County (207) 661-6064

JENNIFER MARY HANIC LCSW

Social Worker (Clinical)

41 DONALD B DEAN DR
S PORTLAND, ME 04106

Cumberland County (207) 661-6064

MS. ELIZABETH A COLTON LCSW

Social Worker (Clinical)

41 DONALD B DEAN DR
SOUTH PORTLAND, ME 04106

Cumberland County (207) 661-6064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Whitaker's NPI number?

The NPI number for Kelly Whitaker is 1043848039. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Kelly Whitaker located?

Kelly Whitaker practices at 41 Donald B Dean Dr, South Portland, ME 04106. The listed phone number is (207) 661-6064.

What is Kelly Whitaker's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Kelly Whitaker enrolled in Medicare?

Yes. Kelly Whitaker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Whitaker accept?

Health plans from Harvard Pilgrim Health Care list Kelly Whitaker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Whitaker affiliated with any hospitals?

According to CMS data, Kelly Whitaker is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Whitaker was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.