JACQUELINE MATTE STEVENS MS, RDN
NPI 1679088637
Dietitian, Registered in Brunswick, ME

Active since December 12, 2017
54 CUMBERLAND ST STE 5, BRUNSWICK, ME 04011(207) 387-0108 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 12, 2021, Dec 12, 2017 (2 updates tracked since 2017).

  • Individual
  • Female
  • Dietitian, Registered

About JACQUELINE STEVENS

This page provides the complete NPI Profile along with additional information for Jacqueline Stevens, a provider established in Brunswick, Maine with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1679088637 assigned on December 2017. The practitioner's primary taxonomy code is 133V00000X with license number DI1228 (ME). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1679088637 Verify this NPI
Provider Name
JACQUELINE MATTE STEVENS MS, RDN
Other Name
JACQUELINE MATTE WAINORIS
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
54 CUMBERLAND ST STE 5 BRUNSWICK, ME 04011
Location Phone
(207) 387-0108
Mailing Address
26 MUNROE LN TOPSHAM, ME 04086
Mailing Phone
(207) 649-8605
Is Sole Proprietor?
No
Enumeration Date
12-12-2017
Last Update Date
08-12-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
DI1228
License State
ME
Taxonomy Description
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.

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Social Worker (Clinical)
54 CUMBERLAND ST STE 5
BRUNSWICK, ME 04011
Lactation Consultant, Non-RN
54 CUMBERLAND ST STE 5
BRUNSWICK, ME 04011
Clinic/Center
54 CUMBERLAND ST STE 5
BRUNSWICK, ME 04011
Registered Nurse (Lactation Consultant)
54 CUMBERLAND ST STE 5
BRUNSWICK, ME 04011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679088637, enumerated as an "individual" on December 12, 2017.

The provider is located at 54 CUMBERLAND ST STE 5 BRUNSWICK, ME 04011 and the phone number is (207) 387-0108.

Dietitian, Registered with taxonomy code 133V00000X.