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AMANDA MOON POULIN RD,LD,CDE
NPI 1649291006
Dietitian, Registered in Bangor, ME

Active since July 21, 2006
905 UNION ST, SUITE 11, BANGOR, ME 04401(207) 097-3733(207) 973-7424 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Moon Poulin Rd,ld,cde NPPES

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

AMANDA MOON POULIN RD,LD,CDE (NPI 1649291006) is an individual dietitian, registered in Bangor, Maine, licensed in Maine (D1736) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1649291006
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameAMANDA MOON POULINCredential: RD,LD,CDE
Location Address905 UNION ST, SUITE 11Bangor, ME 04401-3050
Mailing Address905 Union St, Suite 11Bangor, ME 04401-3050 · (207) 097-3733 · Fax (207) 973-7424
Phone(207) 097-3733
Fax(207) 973-7424
Sole ProprietorYes
Enumeration DateJuly 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649291006 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 · D1736
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.
905 UNION ST, Bangor, ME 04401
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Other Identifiers 1

Medicare UPINMT0528ME

Other Providers at the Same Location NPPES 20

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

LAURI JACOBS RD,CDE
Dietitian, Registered
905 UNION ST, SUITE 11
BANGOR, ME 04401
Penobscot County (207) 973-7334
LOUISE MARIE PELLETIER RN, CDE
Registered Nurse
905 UNION ST, SUITE 11
BANGOR, ME 04401
Penobscot County (207) 973-7334
DR. AGNIESZKA KAROLINA SERWIK KRONHOLM PH.D.
Psychologist (Clinical)
905 UNION ST, 9
BANGOR, ME 04401
Penobscot County (207) 973-4037
DR. JEANNINE MARIE CAMPBELL AU.D.
Audiologist
905 UNION ST, SUITE 10
BANGOR, ME 04401
Penobscot County (207) 973-7365
DR. ALEXIUS ENRIQUE GARCIA SANDOVAL M.D.
Physical Medicine & Rehabilitation
905 UNION ST, SUITE 9
BANGOR, ME 04401
Penobscot County (207) 973-8998
MIKIKO DEMURA MARZILLI MS LD
Dietitian, Registered
905 UNION ST, SUITE 11
BANGOR, ME 04401
Penobscot County (207) 973-7364
KATHERINE ANNE LACHANCE TLD
Dietitian, Registered
905 UNION ST, SUITE 11
BANGOR, ME 04401
Penobscot County (207) 973-7334
NARAHARISETTY ANITA RAU MD
Psychiatry & Neurology (Neurology)
905 UNION ST
BANGOR, ME 04401
Penobscot County (207) 947-0558

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 Amanda Poulin's NPI number?

The NPI number for Amanda Poulin is 1649291006. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Amanda Poulin located?

Amanda Poulin practices at 905 Union St Suite 11, Bangor, ME 04401. The listed phone number is (207) 097-3733.

What is Amanda Poulin's specialty?

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

When was this NPI record last updated?

The NPPES record for Amanda Poulin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.