Earthsoul Nutrition Therapy PLLC

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

Legal business name

EARTHSOUL NUTRITION THERAPY PLLC

Practice address

15 Bramhall St Apt 4
Portland, ME 04102-3122

Phone

(603) 793-3221

NPI assigned

Jan 31, 2024

Organization subpart

No

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

Authorized official

Name

Alexandra Fierros, RD

Title

Co-Founder

Phone

(603) 545-1553

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Zinkowski, RD, LD, CNSC

  • Registered Dietitian
  • Portland, ME
  • NPI 1780152769

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1124881545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BRAMHALL ST APT 4",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023122",
            "telephone_number": "603-793-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BRAMHALL ST APT 4",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023122",
            "telephone_number": "603-793-3221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Dc Dr",
            "address_purpose": "LOCATION",
            "city": "Eliot",
            "state": "ME",
            "postal_code": "039033113",
            "country_code": "US",
            "telephone_number": "603-545-1553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EARTHSOUL NUTRITION THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "FIERROS",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "603-545-1553",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan McKenney MD PLLC
• E. Merle Bragdon, PHD, PA
• Eagle Residential Services LLC
• Halen Earle, LCPC, MS
• Mark D Earnshaw, MD
• Heather Eastty, PT, DPT, NCS
• Easy Care Inc.
• Emily Ebert, MD
• Sarah Ebert, M.D.
• Yusuf Ebrahim, MD

• 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 Dec 5, 2024; 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.