Healthcare Provider Details

I. General information

NPI: 1215850433
Provider Name (Legal Business Name): JASON ALME RDN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 MAIN ST
SPRINGVALE ME
04083-1618
US

IV. Provider business mailing address

611 MAIN ST
SPRINGVALE ME
04083-1618
US

V. Phone/Fax

Practice location:
  • Phone: 678-956-2973
  • Fax:
Mailing address:
  • Phone: 678-956-2973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDI2380
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: