Brandie Marie Wilder, RD

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

3004 Issued in LA

Practice address

38232 Kirtley Ave
Prairieville, LA 70769-4267

Phone

(504) 401-0647

NPI assigned

Mar 12, 2021

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

Other names 1

• Brandie Marie Faucheux Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1003491960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38232 KIRTLEY AVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694267",
            "telephone_number": "504-401-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38232 KIRTLEY AVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694267",
            "telephone_number": "504-401-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "BRANDIE",
        "middle_name": "MARIE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "LA",
            "license": "3004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDIE",
            "last_name": "FAUCHEUX",
            "middle_name": "MARIE",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany Werling, DPT
• Mary Ayleene Wesley, APRN, FNP-BC
• Ashli West, M.D.
• Brandi Marie West
• Alexsis White Langlois, RN, BSN, CRNA
• Bayli Wilkinson
• Asia Shanice Williams
• Jasmine Ariel Williams
• Kashunda Lynn Williams, LP, BCBA-D
• Kristin Elisha Williams, M.ED. M.S. CF-SLP

• Pediatric Nutrition Registered Dietitian in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Pediatric Nutrition Registered Dietitian in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.