Individual provider Active NPI

Jennifer Ann Brannigan, RD, LDN

  • Registered Dietitian
  • Ambler, PA
National Provider Identifier
1104469444
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN006891 Issued in PA
Practice address
300 Brookside Ave Ste 75
Ambler, PA 19002-3436
Phone
(484) 850-8488
NPI assigned
Oct 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN006891 PA Primary

Addresses

Primary practice location

300 Brookside Ave Ste 75
Ambler, PA 19002-3436

Mailing address

300 Brookside Ave Ste 75
Ambler, PA 19002-3436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200325003775 PA Practitioner - Registered Dietitian Or Nutrition Professional 2264860253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simplex HealthGroup PAC ID 8022354182, 23 clinicians

Practice addresses (Care Compare)

300 Brookside Ave
Suite 125
Ambler, PA 19002-3436
Phone (877) 842-2425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Simplex Health Dietitian, Registered CurrentSince Feb 1, 2020 Accepting new patients
Adrian Chiu, PH.D., PLLC PastSince Dec 1, 2023 Accepting new patients

Locations

300 Brookside Ave
Ste 180
Ambler, PA 19002
Phone (484) 450-8488

300 Brookside Ave
Ste 75
Ambler, PA 19002
Phone (484) 209-0855

300 Brookside Ave
Bldg 4
Ambler, PA 19002
Phone (267) 702-4862

300 Brookside Ave
Bldg 18
Ambler, PA 19002
Phone (877) 842-2425

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1104469444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BROOKSIDE AVE STE 75",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BROOKSIDE AVE STE 75",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023436",
            "telephone_number": "484-850-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNIGAN",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.