Active NPI
Brittany Massenburg, RDN, IBCLC
- Registered Dietitian
- Henderson, NV
National Provider Identifier
1295404440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 32959-DI-4
- Practice address
- 2505 Anthem Village Dr Ste E149
Henderson, NV 89052-5505 - Phone
- (702) 475-9894
- NPI assigned
- Sep 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Registered Dietitian | 133V00000X | 32959-DI-4 | NV | Primary |
Addresses
Primary practice location
2505 Anthem Village Dr Ste E149
Henderson, NV 89052-5505
Mailing address
2505 Anthem Village Dr Ste E149
Henderson, NV 89052-5505
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32959-DI-4 | NV | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nutrition With Brittany, LLC | Dietitian, Registered | Past | Accepting new patients |
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.
-
- Registered Dietitian
- Henderson, NV
- NPI 1528981172
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1295404440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 ANTHEM VILLAGE DR STE E149",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890525505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 ANTHEM VILLAGE DR STE E149",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890525505",
"telephone_number": "702-475-9894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSENBURG",
"first_name": "BRITTANY",
"credential": "RDN, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-10",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "32959-DI-4",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.