Brandi Wynne, MS, CNS, LDN, CPT

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

53 E Patrick St
Frederick, MD 21701-5673

Phone

(301) 276-0413

Fax

(240) 771-0715

NPI assigned

Mar 7, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Master of Science

State licenses

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1033977756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MIDDLETOWN PARKWARY",
            "address_2": "UNIT 202",
            "city": "MIDDLETOWN",
            "state": "MD",
            "postal_code": "217697904",
            "telephone_number": "301-276-0413",
            "fax_number": "240-771-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 E PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015673",
            "telephone_number": "301-276-0413",
            "fax_number": "240-771-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNNE",
        "first_name": "BRANDI",
        "credential": "MS, CNS, LDN, CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX7061",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PA",
            "license": "DN008941",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Mark Wurm, M.D.
• WVS Frederick ASC LLC
• Bradford Wye
• Cynthia L. Wylie, CNM
• Zakiya J Wynn, MD
• Changqing Xie, M.D.
• Guoping Xu, MD MS
• Ya Health Services LLC
• Ya Health Services LLC
• Ravi Yalamanchili, M.D.

• Nutrition Education Nutritionist in Frederick, MD
• Providers in Frederick, MD by specialty
• Nutrition Education Nutritionist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.