ALISON R FERNALD (NPI# 1871767699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871767699 |
Entity Type | Individual |
Full Name | ALISON R FERNALD |
Credential | R.D., L.D., CDE |
Practice Address |
81 Medical Center Dr Suite 2200 Brunswick ME 04011-2764 |
Practice Telephone | 2074067290 |
Practice Fax Number | 2074067291 |
Mailing Telephone | 2074067290 |
Mailing Fax Number | 2074067291 |
Enumeration Date | 2008-04-14 |
Last Update Date | 2016-02-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
D1449 | ME | Dietary & Nutritional Service Providers |
Y | 133V00000X | Dietitian, Registered | D1449 | ME | Dietary & Nutritional Service Providers |
Street Address |
81 MEDICAL CENTER DR SUITE 2200 |
City | BRUNSWICK |
State | ME |
Zip Code | 04011-2764 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275518144 | Jessica L Buckner | Podiatrist | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2690 | 2005-12-13 |
1598130411 | Rebecca Howe | Dietitian, Registered | 81 Medical Center Dr, Suite 2200, Brunswick, ME 04011-2764 | 2015-12-03 |
1588066203 | Carroll Clinical Consulting Pllc | Internal Medicine | 81 Medical Center Dr, Ste 1300, Brunswick, ME 04011-2764 | 2014-09-25 |
1780095786 | Claire Ross | Nurse Practitioner | 81 Medical Center Dr, Suite 2150, Brunswick, ME 04011-2764 | 2014-05-13 |
1104122936 | Michael David Kipp | Assistant, Podiatric | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2764 | 2011-01-26 |
1174764146 | Angela M. Perron Dpm Pa | Podiatrist | 81 Medical Center Dr, Suite 1150, Brunswick, ME 04011-2690 | 2009-03-20 |
1699974097 | Jared T Wilkinson | Podiatrist | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2690 | 2007-07-16 |
1770703811 | Kristen Jane Schroeder-cyr | Nurse Practitioner | 81 Medical Center Dr, Suite 2300, Brunswick, ME 04011-2764 | 2007-04-30 |
1649312638 | Liana Belle Kelly | Nurse Practitioner | 81 Medical Center Dr, Ste 2200, Brunswick, ME 04011-2765 | 2007-02-13 |
1093874893 | William P Stamey | Psychiatry & Neurology | 81 Medical Center Dr, Suite 2400, Brunswick, ME 04011-2764 | 2006-12-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
Find all providers in zip 04011 |
Taxonomy Code | 133V00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
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1942865514 | Courtney Nicole Barth | Dietitian, Registered | 360 Westchester Dr, Brunswick, OH 44212-1871 | 2019-05-08 |
1538724737 | Patricia A Anzo | Dietitian, Registered | 3095 Trentwood Ct, Brunswick, OH 44212-4292 | 2019-05-03 |
1417297730 | Tracie Bock | Dietitian, Registered | 1415 Legacy Dr, Brunswick, GA 31525-3137 | 2013-02-22 |
1285869974 | Nutrisource Nutritional Services | Dietitian, Registered | 3226 Hampton Ave Ste F, Brunswick, GA 31520-4252 | 2009-05-25 |
1033377429 | Hope Nutritional Services | Dietitian, Registered | 154 Cornerstone Drive, Brunswick, GA 31523-3152 | 2008-06-02 |
1982646204 | Schella Hope | Dietitian, Registered | 1628 Union St, Brunswick, GA 31520-6733 | 2006-06-12 |
1871131862 | Nutrition In Motion | Dietitian, Registered | 360 Westchester Dr, Brunswick, OH 44212-1871 | 2019-12-20 |
1699331827 | Rdnconnect LLC | Dietitian, Registered | 3095 Trentwood Ct, Brunswick, OH 44212-4292 | 2019-05-13 |
1598130411 | Rebecca Howe | Dietitian, Registered | 81 Medical Center Dr, Suite 2200, Brunswick, ME 04011-2764 | 2015-12-03 |
1376973883 | Caitlin Pelat | Dietitian, Registered | 3440 Center Rd, Brunswick, OH 44212-3689 | 2013-11-19 |
Find all providers in BRUNSWICK |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.