Brooke Higgins, RD, LD

Individual provider Active NPI Registered Dietitian · Upper Sandusky, OH

NPI 1114535010 · NPPES record last updated Jul 16, 2020

Key facts

NPI
1114535010
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
08805 (OH)
Practice address
855 N Sandusky Ave
Upper Sandusky, OH 43351-1031
Phone
(419) 294-4991
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
08805OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 08805 OH Yes

Addresses

Primary practice location

855 N Sandusky Ave
Upper Sandusky, OH 43351-1031

Mailing address

855 N Sandusky Ave
Upper Sandusky, OH 43351-1031
Phone (419) 294-4991

Other providers in Upper Sandusky, OH

All providers in Upper Sandusky, OH · Registered Dietitian in Ohio

Sources for this page

Verify at the official NPI Registry.