OrganizationActive
Tidewater Nutrition & Wellness LLC
NPI 1720638992 · Nutritionist · Portland, ME
Tidewater Nutrition & Wellness LLC is a Nutritionist organization in Portland, ME (NPI 1720638992).
Provider details
- NPI number
- 1720638992
- Entity type
- Organization
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Kristine Taylor, Registered Dietitian/Owner(207) 358-0154
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
52 Cove St
Portland, ME 04101-2514
Phone: (207) 358-0154
Street-level locationGet directions
Mailing address
52 Cove St
Portland, ME 04101-2514
Registry dates
- Enumerated
- 2019-09-18
- Last updated
- 2019-09-18
Frequently asked questions
- What is Tidewater Nutrition & Wellness LLC's NPI number?
- Tidewater Nutrition & Wellness LLC's National Provider Identifier (NPI) is 1720638992, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Nutrition & Wellness LLC?
- Tidewater Nutrition & Wellness LLC is classified in the NPPES registry as Nutritionist (Dietary & Nutritional Service Providers).
- Where is Tidewater Nutrition & Wellness LLC located?
- Tidewater Nutrition & Wellness LLC's practice location on file with NPPES is 52 Cove St, Portland, ME 04101-2514.
- What is Tidewater Nutrition & Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Tidewater Nutrition & Wellness LLC is (207) 358-0154.
- Who is the authorized official for Tidewater Nutrition & Wellness LLC?
- The authorized official listed on Tidewater Nutrition & Wellness LLC's NPPES record is Kristine Taylor, Registered Dietitian/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Nutrition & Wellness LLC's NPI active?
- Yes — Tidewater Nutrition & Wellness LLC's NPI (1720638992) is active in the NPPES registry as of the last update on 2019-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.