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Active NPI 1568116309 Individual Practitioner Male Practitioner

Philip Robert Larson , RDN

Dietitian, Registered • Bristol, ME

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Philip Larson, RDN is a registered healthcare professional specializing in Dietitian, Registered in Bristol, ME. Official NPI practice address is registered at 25 STONEYBROOK LN.

Practice Location & Contact Primary Location

Practice Address

25 Stoneybrook Ln

Bristol, ME 045393050

Telephone 9189143215
Associated Practice Facility / Clinic
🏢 Larson Dietetics Facility NPI 1740129642

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Bristol, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Bristol, ME (343 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-23
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License OK 2697

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 23, 2026

Registered at 25 STONEYBROOK LN, BRISTOL, ME 045393050 (Tel: 9189143215)

📍
Updated Business Mailing Address February 23, 2026

Registered at 25 STONEYBROOK LN, BRISTOL, ME 045393050 (Tel: 9189143215)

NPI Profile Active February 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2022

Registered at 19600 E ROSS ST # 4014, TAHLEQUAH, OK 744640545 (Tel: 5342344114)

📍
Updated Business Mailing Address February 10, 2022

Registered at 19600 E ROSS ST # 4014, TAHLEQUAH, OK 744640545 (Tel: 5392344114)

👤
Provider Name / Credentials Updated February 10, 2022

Recorded as PHILIP LARSON, RDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2022

Dietitian, Registered (License #2697 in OK)

🟢
Initial NPI Registration & Enumeration February 10, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568116309
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 10, 2022
Last Update: February 23, 2026
Sole Proprietor: No

Mailing Address

25 Stoneybrook Ln

Bristol, ME 045393050

Phone: 9189143215

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.