Kelly Elizabeth Brennan, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

34003DI-0 Issued in NV

Practice address

837 Southwood Blvd
Incline Village, NV 89451-7434

Phone

(908) 672-7784

NPI assigned

Dec 11, 2013

Last updated

Dec 11, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1073944369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894506069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 SOUTHWOOD BLVD",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894517434",
            "telephone_number": "908-672-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "34003DI-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily K. Allina, NP
• Alan W Andersen, BS PHARM
• Aspire Insight Therapy (Private Practice Therapy)
• Susan Ann Birch, DC
• Rachel Bowdle
• Elisabeth Helen Brown, BAPPSC, MED
• Christina Harding, MD., PLLC
• Marshall W Clyde, MD
• Community Health Alliance
• Madison Corneil

• Registered Dietitian in Incline Village, NV
• Providers in Incline Village, NV by specialty
• Registered Dietitian in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.