- Practice location
- 75 Market St Ste 304, Portland, ME 04101-5040
- Phone
- 207-400-6188
- Fax
- —
- Last updated
- May 17, 2021
Alyssa Lynne Russell is a Dietitian, Registered based in Portland, ME. Alyssa Lynne Russell practices in Portland, ME and has the professional credentials of RDN, LD. The NPI Number for Alyssa Lynne Russell is 1972177863 and holds a License No. DI1393 (ME). The current practice location address for Alyssa Lynne Russell is 75 Market St Ste 304, Portland, ME 04101-5040 and can be reached out via phone at 207-400-6188.
Provider Profile Details
- NPI Number
- 1972177863
- Provider Name
- Alyssa Lynne Russell
- Credential
- RDN, LD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 75 Market St Ste 304, Portland, ME 04101-5040
- Phone Number
- 207-400-6188
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 17, 2021
- Last Update Date
- May 17, 2021
- Certification Date
- May 17, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 75 Market St Ste 304
Portland, ME 04101-5040 - City
- Portland
- State
- Maine
- Zip
- 04101-5040
- Phone Number
- 207-400-6188
Provider Business Mailing Address Details
- Address
- 10 Lindy Ln
Freeport, ME 04032-6338 - City
- Freeport
- State
- ME
- Zip
- 04032-6338
- Phone Number
- 516-816-1086
License Information
- License Number
- DI1393
- License State
- ME
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Portland, ME
View all Dietitian, Registered providers in Portland →- Amy B Joyce, MS, RD, LD, CNSCDietitian, Registered · NPI 1063484111
- Anne Lapierre, MS, LD, RDDietitian, Registered · NPI 1255721627
- Annie Allnutt, RDDietitian, Registered · NPI 1083528863
- Caroline Bennett, RDN, LDDietitian, Registered · NPI 1740003672
- Caroline M Bowman, RDDietitian, Registered · NPI 1871740944
- Denise Goode, RDDietitian, Registered · NPI 1336539782
Frequently Asked Questions
What is the NPI number of Alyssa L Russell, RDN, LD?
The NPI number of Alyssa L Russell, RDN, LD is 1972177863. It was assigned on May 17, 2021 and is currently active in the NPPES registry.
What is the specialty of Alyssa L Russell, RDN, LD?
Alyssa L Russell, RDN, LD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in ME under license number DI1393.
Where does Alyssa L Russell, RDN, LD practice?
The practice location is 75 Market St Ste 304, Portland, ME 04101-5040. The office can be reached at 207-400-6188 (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 1972177863 directly on the NPPES registry website.