- Practice location
- 15 Bramhall St Apt 4, Portland, ME 04102-3122
- Phone
- 603-793-3221
- Fax
- —
- Last updated
- December 5, 2024
Earthsoul Nutrition Therapy PLLC is a healthcare organization based in Portland, ME. Earthsoul Nutrition Therapy PLLC practices in Portland, ME. The NPI Number for Earthsoul Nutrition Therapy PLLC is 1124881545. The current practice location address for Earthsoul Nutrition Therapy PLLC is 15 Bramhall St Apt 4, Portland, ME 04102-3122 and can be reached out via phone at 603-793-3221.
Provider Profile Details
- NPI Number
- 1124881545
- Provider Name
- Earthsoul Nutrition Therapy PLLC
- Provider Entity Type
- Organization
- Address
- 15 Bramhall St Apt 4, Portland, ME 04102-3122
- Phone Number
- 603-793-3221
- Primary Taxonomy
- Dietitian, Registered, Nutrition, Pediatric · 133VN1004X
- Organization Subpart
- No
- Authorized Official
- Alexandra Fierros, RD · Co-Founder · 603-545-1553
- Provider Enumeration Date
- January 31, 2024
- Last Update Date
- December 5, 2024
- Certification Date
- December 5, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Bramhall St Apt 4
Portland, ME 04102-3122 - City
- Portland
- State
- Maine
- Zip
- 04102-3122
- Phone Number
- 603-793-3221
Provider Business Mailing Address Details
- Address
- 15 Bramhall St Apt 4
Portland, ME 04102-3122 - City
- Portland
- State
- ME
- Zip
- 04102-3122
- Phone Number
- 603-793-3221
License Information
- Taxonomy (1)
- Dietitian, Registered · 133V00000X
- Taxonomy (2)
- Dietitian, Registered, Nutrition, Pediatric · 133VN1004X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Earthsoul Nutrition Therapy PLLC?
The NPI number of Earthsoul Nutrition Therapy PLLC is 1124881545. It was assigned on January 31, 2024 and is currently active in the NPPES registry.
What is the specialty of Earthsoul Nutrition Therapy PLLC?
Earthsoul Nutrition Therapy PLLC is registered under the primary taxonomy Dietitian, Registered, Nutrition, Pediatric (code 133VN1004X).
Where does Earthsoul Nutrition Therapy PLLC practice?
The practice location is 15 Bramhall St Apt 4, Portland, ME 04102-3122. The office can be reached at 603-793-3221 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124881545 directly on the NPPES registry website.