Jennifer A Brady, RD
Individual provider Active NPI Registered Dietitian · Syracuse, UT
NPI 1093017485 · NPPES record last updated Nov 17, 2010
Key facts
- NPI
- 1093017485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 5324848-4901 (UT)
- Practice address
- 1966 S 2590 W
Syracuse, UT 84075-7022 - Phone
- (801) 698-3003
- Fax
- (801) 776-5252
- NPI assigned
- Nov 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5324848-4901 | UT | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 5324848-4901 | UT | Yes |
Addresses
Primary practice location
1966 S 2590 W
Syracuse, UT 84075-7022
Mailing address
1966 S 2590 W
Syracuse, UT 84075-7022
Phone (801) 698-3003
Other providers in Syracuse, UT
- Cynthia Beene
- Scott Russell Bishop
- Rylee Blackburn
- Jeanna Bokinskie
- Christopher Bowler
- Daniel C. Brandley
- Casey B Brewer
- Brightside Oral Surgery LLC
- Macie Mia Burnett
- Brett T Burtenshaw
All providers in Syracuse, UT · Registered Dietitian in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.