Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Doris Whitaker, RDN

Individual provider Registered Dietitian · NPI 1043848039

Kelly Doris Whitaker, RDN is a Registered Dietitian OR Nutrition Professional in South Portland, Maine. Qualified in 2018, 8 years ago. Practices with Mainehealth, a 2,615-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
8
Licensed in
ME
In the registry since
2020
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

See every abbreviation used in this directory →

Practice location Address checks out

41 Donald B Dean Dr
South Portland, ME 04106-3252
Phone: (207) 661-6064
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DI149 (ME)

Record details

NPI number1043848039
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorYes
NPI enumeratedMarch 27, 2020
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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