Active NPI
Brandy Michelle Msall, RD, LD
- Registered Dietitian
- Lanham, MD
National Provider Identifier
1346679644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86019915
- Practice address
- 8118 Good Luck Rd
Lanham, MD 20706-3574 - Phone
- (301) 552-7970
- NPI assigned
- Nov 6, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | DX3487 | MD | |
| Registered Dietitian | 133V00000X | 86019915 | MO | Primary |
Addresses
Primary practice location
8118 Good Luck Rd
Lanham, MD 20706-3574
Mailing address
8118 Good Luck Rd
Lanham, MD 20706
Phone (301) 552-7970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86019915 | Other | VA | DIETITIAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- University of Arkansas College of Medicine, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8095 Innovation Park Dr
Fairfax, VA 22031-4868
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX3487 | MD | MD | Nutritionist |
| 86019915 | MO | MD | Registered Dietitian |
Organizations & group practices 1
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": "1383696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1346679644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8118 GOOD LUCK RD",
"city": "LANHAM",
"state": "MD",
"postal_code": "20706",
"telephone_number": "301-552-7970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8118 GOOD LUCK RD",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063574",
"telephone_number": "301-552-7970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MSALL",
"first_name": "BRANDY",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-06",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "MD",
"license": "DX3487",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "86019915",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETITIAN",
"identifier": "86019915",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.