Provider Demographics
NPI:1093605180
Name:MAINELY NUTRITION LLC
Entity type:Organization
Organization Name:MAINELY NUTRITION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, RDN, LD
Authorized Official - Phone:207-838-8668
Mailing Address - Street 1:243 BLUFF ROAD
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-7305
Mailing Address - Country:US
Mailing Address - Phone:207-560-3915
Mailing Address - Fax:207-560-3922
Practice Address - Street 1:938 FOREST AVE.
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-4123
Practice Address - Country:US
Practice Address - Phone:207-560-3915
Practice Address - Fax:207-560-3922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty