TIDEWATER NUTRITION & WELLNESS LLC
NPI 1720638992
Nutritionist in Portland, ME

Q: What is Tidewater Nutrition & Wellness LLC's NPI number?

The NPI number for Tidewater Nutrition & Wellness LLC is 1720638992. It was assigned to this organization in the NPPES registry on September 18, 2019.

Q: What is Tidewater Nutrition & Wellness LLC's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Active since September 18, 2019

52 COVE ST, PORTLAND, ME 04101(207) 358-0154 Get Directions Write a Review

NPPES record last updated: September 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tidewater Nutrition & Wellness Llc NPPES

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

TIDEWATER NUTRITION & WELLNESS LLC (NPI 1720638992) is a healthcare organization registered as a nutritionist in Portland, Maine and active in the NPI registry since September 2019. The organization lists Kristine Taylor, Registered Dietitian/owner, as its authorized official.

NPPES Registry Identity

NPI1720638992

Entity TypeOrganization

Primary Taxonomy133N00000X

Legal Business NameTIDEWATER NUTRITION & WELLNESS LLC

Location Address52 COVE STPortland, ME 04101-2514

Mailing Address52 Cove StPortland, ME 04101-2514

Phone(207) 358-0154

Organization SubpartNo

Authorized OfficialKristine TaylorRegistered Dietitian/owner · (207) 358-0154

Enumeration DateSeptember 18, 2019

✔ NPI 1720638992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers

Taxonomy Code133N00000X

Definition

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

52 COVE ST, Portland, ME 04101

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

MARY-LYNN CORRADI LCPC

Counselor

52 COVE ST
PORTLAND, ME 04101

Cumberland County (207) 272-5918

SUSANNAH HARNDEN LCSW

Social Worker (Clinical)

52 COVE ST
PORTLAND, ME 04101

Cumberland County (207) 321-8940

MS. JULEANNE STEWART LCPC

Counselor

52 COVE ST
PORTLAND, ME 04101

Cumberland County (207) 939-9134

KRISTINE YVETTE TAYLOR MS, RDN, LDN

Dietitian, Registered

52 COVE ST
PORTLAND, ME 04101

Cumberland County (207) 358-0154

BRENNA MARIE O'SULLIVAN LCPC-C

Counselor (Mental Health)

52 COVE ST
PORTLAND, ME 04101

Cumberland County (207) 956-5977

AMANDA ATKINSON-LEWIS LCSW

Social Worker (Clinical)

52 COVE ST
PORTLAND, ME 04101

Cumberland County (207) 776-0597

MR. MARK STEPHEN PERRON M.S.,L.C.P.C.

Counselor (Professional)

52 COVE ST
PORTLAND, ME 04101

Cumberland County (207) 712-5505

STONYCREEK PSYCHOTHERAPY AND WELLNESS LLC

Counselor (Professional)

52 COVE ST
PORTLAND, ME 04101

Cumberland County (207) 400-5296

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 Tidewater Nutrition & Wellness LLC's NPI number?

The NPI number for Tidewater Nutrition & Wellness LLC is 1720638992. It was assigned to this organization in the NPPES registry on September 18, 2019.

Where is Tidewater Nutrition & Wellness LLC located?

Tidewater Nutrition & Wellness LLC is located at 52 Cove St, Portland, ME 04101. The listed phone number is (207) 358-0154.

What is Tidewater Nutrition & Wellness LLC's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

When was this NPI record last updated?

The NPPES record for Tidewater Nutrition & Wellness LLC was last updated on September 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.