Alexandra McColl Marcotte Fierros, MS, RDN, CSP, LD

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

DI1497 Issued in ME

Practice address

22 Bramhall St
Portland, ME 04102-3134

Phone

(072) 662-2349

NPI assigned

Mar 15, 2017

Last updated

Jul 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1073054656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DARTMOUTH HITCHCOCK - FOOD & NUTRITION SERVICES",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "072-662-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIERROS",
        "first_name": "ALEXANDRA",
        "middle_name": "MCCOLL MARCOTTE",
        "credential": "MS, RDN, CSP, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "ME",
            "license": "DI1497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fiddlehead Family Therapy
• Fidelity Residential Care LLC (N/a)
• Kiara Paige Field
• Susan J Fielding, ANP
• Samantha Marie Fields, NP
• Jennifer Fife, M.D.
• Ronald Allan Figaratto, MOTR/L
• Daniel R Filene, MD
• Sharon Files
• Rabi Filipe

• Pediatric Nutrition Registered Dietitian in Portland, ME
• Providers in Portland, ME by specialty
• Pediatric Nutrition Registered Dietitian in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.