Individual provider Active NPI

Penny Sabrina Brooks, MS, RD, LD/N

  • Registered Dietitian
  • Greenbelt, MD
National Provider Identifier
1134819790
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86020556 Issued in FL
Practice address
7500 Hanover Pkwy Ste 105a
Greenbelt, MD 20770-2011
Phone
(301) 220-2220
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DX4497 MD
Nutrition Education Nutritionist 133NN1002X DX4497 MD
Registered Dietitian 133V00000X 86020556 FL Primary

Addresses

Primary practice location

7500 Hanover Pkwy Ste 105a
Greenbelt, MD 20770-2011

Mailing address

8150 Lakecrest Dr Apt 803
Greenbelt, MD 20770-3332
Phone (305) 989-1745

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DX4497MDMDNutrition Education Nutritionist
86020556FLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1134819790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 LAKECREST DR APT 803",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703332",
            "telephone_number": "305-989-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY STE 105A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702011",
            "telephone_number": "301-220-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "PENNY",
        "middle_name": "SABRINA",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LD/N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX4497",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MD",
            "license": "DX4497",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "86020556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.