Maternal Wellness, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MATERNAL WELLNESS, LLC

Practice address

1011 Preston Dr
Brandon, MS 39047-8169

Phone

(601) 255-8920

NPI assigned

May 20, 2024

Organization subpart

No

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

Authorized official

Name

Anna Noble Brister, MS, RD, LD, CLCNPI 1598504722

Title

Owner

Phone

(601) 255-8920

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Noble Brister, MS, RD, LD, CLC

  • Registered Dietitian
  • Austin, TX
  • NPI 1598504722

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1144069386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 TRACE COLONY PARK DR STE B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578810",
            "telephone_number": "601-255-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 PRESTON DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390478169",
            "telephone_number": "601-255-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNAL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-19",
        "status": "A",
        "authorized_official_last_name": "BRISTER",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "NOBLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-255-8920",
        "authorized_official_credential": "MS, RD, LD, CLC"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tristin Courtney Martin
• Cindie L Martiny, B.S.
• Mary a. Doss
• Millie Grace Mask, PT
• Samuel Oliver Massey Jr., M.D.
• Abbigail Jones Mathieu, FNP-C
• Brandon Matthews, MA, PCMHT
• Joanna Kathleen Maxie
• Hannah May, CRNA
• Mayatte Family Dentistry, LLC

• Registered Dietitian in Brandon, MS
• Providers in Brandon, MS by specialty
• Registered Dietitian in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.