Individual provider Active NPI

Alison R Fernald, R.D., L.D., CDE

  • Registered Dietitian
  • Brunswick, ME
National Provider Identifier
1871767699
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D1449 Issued in ME
Practice address
81 Medical Center Dr
Suite 2200
Brunswick, ME 04011-2764
Phone
(207) 406-7290
Fax
(207) 406-7291
NPI assigned
Apr 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X D1449 ME
Registered Dietitian 133V00000X D1449 ME Primary

Addresses

Primary practice location

81 Medical Center Dr
Suite 2200
Brunswick, ME 04011-2764

Mailing address

81 Medical Center Dr
Suite 2200
Brunswick, ME 04011-2764
Phone (207) 406-7290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131119001092 ME Practitioner - Registered Dietitian Or Nutrition Professional 2860628922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D1449MEMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1871767699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 MEDICAL CENTER DR",
            "address_2": "SUITE 2200",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112764",
            "telephone_number": "207-406-7290",
            "fax_number": "207-406-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MEDICAL CENTER DR",
            "address_2": "SUITE 2200",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112764",
            "telephone_number": "207-406-7290",
            "fax_number": "207-406-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNALD",
        "first_name": "ALISON",
        "middle_name": "R",
        "credential": "R.D., L.D., CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "ME",
            "license": "D1449",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "D1449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.