Active NPI
Brielle Zimmerman, RD
- Registered Dietitian
- Reno, NV
National Provider Identifier
1285285544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 39642-DI-0
- Practice address
- 10085 Double R Blvd Ste 325
Reno, NV 89521-4832 - Phone
- (775) 982-5073
- Fax
- (775) 982-3958
- NPI assigned
- Sep 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 39642-DI-0 | NV | Primary |
Addresses
Primary practice location
10085 Double R Blvd Ste 325
Reno, NV 89521-4832
Mailing address
850 Harvard Way
Reno, NV 89502-2055
Phone (775) 982-5262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39642-DI-0 | Other | NV | STATE OF NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1285285544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 HARVARD WAY",
"city": "RENO",
"state": "NV",
"postal_code": "895022055",
"telephone_number": "775-982-5262",
"fax_number": "775-982-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10085 DOUBLE R BLVD STE 325",
"city": "RENO",
"state": "NV",
"postal_code": "895214832",
"telephone_number": "775-982-5073",
"fax_number": "775-982-3958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "BRIELLE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-26",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "39642-DI-0",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES",
"identifier": "39642-DI-0",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.