EARTHSOUL NUTRITION THERAPY PLLC
NPI 1124881545
Dietitian, Registered - Nutrition, Pediatric in Portland, ME

NPI Status: Active since January 31, 2024

Contact Information

15 BRAMHALL ST APT 4
PORTLAND, ME
ZIP 04102
Phone: (603) 793-3221

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  • Organization
  • Dietitian, Registered
  • Nutrition, Pediatric

About EARTHSOUL NUTRITION THERAPY PLLC

This page provides the complete NPI Profile along with additional information for Earthsoul Nutrition Therapy Pllc, a provider established in Portland, Maine operating as a Dietitian, Registered, focusing in nutrition, pediatric . The healthcare provider is registered in the NPI registry with number 1124881545 assigned on January 2024. The practitioner's primary taxonomy code is 133VN1004X. The provider is registered as an organization and their NPI record was last updated one year ago. Earthsoul Nutrition Therapy Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Alexandra Fierros Rd (Co-founder)

NPI
1124881545
Provider Name
EARTHSOUL NUTRITION THERAPY PLLC
Entity Type
Organization
Location Address
15 BRAMHALL ST APT 4 PORTLAND, ME 04102
Location Phone
(603) 793-3221
Mailing Address
15 BRAMHALL ST APT 4 PORTLAND, ME 04102
Mailing Phone
(603) 793-3221
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2024
Last Update Date
12-05-2024
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Location Map

Secondary Locations

  • 41 Dc Dr
    Eliot, ME 03903
    (603) 545-1553

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered Nutrition, Pediatric

Taxonomy Code
133VN1004X
Type
Dietary & Nutritional Service Providers
Taxonomy Description
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1133V00000XDietary & Nutritional Service Providers

Dietitian, Registered

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALEXANDRA FIERROS RD

Authorized Official Title
CO-FOUNDER
Authorized Official Phone
(603) 545-1553

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124881545
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144168258
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 1 + 6 + 8 + 2 + 5 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1124881545 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124881545, enumerated in the NPI registry as an "organization" on January 31, 2024

The provider is located at 15 Bramhall St Apt 4 Portland, Me 04102 and the phone number is (603) 793-3221

This medical organization specializes in Dietitian, Registered with taxonomy code 133VN1004X with a focus in Nutrition, Pediatric

This NPI record was last updated on January 31, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.