Colleen O'Brien

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

952552 Issued in PA

Practice address

350 Young Ave Ste 100
Moorestown, NJ 08057-3146

Phone

(856) 247-7330

NPI assigned

Apr 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1083972145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOWMAN DR STE D190",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439634",
            "telephone_number": "856-247-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 YOUNG AVE STE 100",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573146",
            "telephone_number": "856-247-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4867 W Sunset Blvd",
            "address_2": "ATTN: Food and Nutrition Services",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900275969",
            "country_code": "US",
            "telephone_number": "323-783-1552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "COLLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "952552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor J. Nitti Jr., PH.D.
• Cynthia Nossen, PA
• Nu'Yu Radiense, LLC
• Lynnsey Nicole Null, NP
• David Alexander Nunes, OD
• Kevin Paul O'Donnell, M.D.
• Mikhail Oakes, LSW
• Occupational Training Center of Burlington County Inc.
• Fausat Funmilola Odubiyi, NURSE PRACTITIONER
• Myranda Nadine Oettel, PT, DPT

• Registered Dietitian in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.