Individual provider Active NPI

Brittany Michelle Briggs

  • Metabolic Nutrition Registered Dietitian
  • Beaumont, TX
National Provider Identifier
1235622887
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
86081673 Issued in TX
Practice address
3030 North St Ste 560
Beaumont, TX 77702-1424
Phone
(409) 835-9834
Fax
(409) 895-3547
NPI assigned
Jun 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X 86081673 TX Primary

Addresses

Primary practice location

3030 North St Ste 560
Beaumont, TX 77702-1424

Mailing address

3030 North St Ste 560
Beaumont, TX 77702-1424
Phone (409) 835-9834

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180730000706 TX Practitioner - Registered Dietitian Or Nutrition Professional 3678821261 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86081673TXMDMetabolic Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrine Clinic of Southeast Texas CurrentSince Jul 1, 2018 Accepting new patients
Southeast Texas Self-Management of Diabetes CurrentSince Jul 1, 2018 Accepting new patients

Locations

3030 North St
Ste 560
Beaumont, TX 77702
Phone (409) 835-9834

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": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1235622887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 NORTH ST STE 560",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021424",
            "telephone_number": "409-835-9834",
            "fax_number": "409-895-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NORTH ST STE 560",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021424",
            "telephone_number": "409-835-9834",
            "fax_number": "409-895-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGGS",
        "first_name": "BRITTANY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "TX",
            "license": "86081673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.