Kelly Doris Whitaker, RDN
NPI 1043848039ActiveIndividual· Dietitian, Registered· South Portland, ME
Dietitian, Registered (RDN) with Mainehealth, practicing in South Portland, Maine. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional. Lists Mainehealth Maine Medical Center as a hospital affiliation.
Overview
| NPI | 1043848039 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RDN |
| Sole proprietor | Yes |
| NPI issued | Mar 27, 2020 |
| Last updated in NPPES | Sep 5, 2024 |
| Certified by provider | Sep 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | DI149 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (ME) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- MainehealthPortland, ME · 2,633 clinicians
Hospital affiliation
- Mainehealth Maine Medical CenterPortland, ME
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All 15 registered dietitians in South Portland · All registered dietitians in Maine