Elizabeth Ann Brine, MMSC, RD, CD

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

37000065A Issued in IN

Practice address

3237 W County Road 875 S
Reelsville, IN 46171-9477

Phone

(317) 508-3136

Fax

(765) 672-4685

NPI assigned

Aug 15, 2011

Last updated

Aug 15, 2011By 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

State licenses

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1093094575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 W COUNTY ROAD 875 S",
            "city": "REELSVILLE",
            "state": "IN",
            "postal_code": "461719477",
            "telephone_number": "317-508-3136",
            "fax_number": "765-672-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 W COUNTY ROAD 875 S",
            "city": "REELSVILLE",
            "state": "IN",
            "postal_code": "461719477",
            "telephone_number": "317-508-3136",
            "fax_number": "765-672-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINE",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MMSC, RD, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "IN",
            "license": "37000065A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Young

• Pediatric Nutrition Registered Dietitian in Reelsville, IN
• Providers in Reelsville, IN by specialty
• Pediatric Nutrition Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.