Active NPI
Briana Lynn Bruinooge
- Registered Dietitian
- Portsmouth, NH
National Provider Identifier
1356841340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0935
- Practice address
- 230 Lafayette Rd Ste 13
Portsmouth, NH 03801-5465 - Phone
- (888) 964-1975
- Fax
- (877) 743-5351
- NPI assigned
- Feb 15, 2018
- Last updated
- May 26, 2022
- 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 | 0935 | NH | Primary |
Addresses
Primary practice location
230 Lafayette Rd Ste 13
Portsmouth, NH 03801-5465
Mailing address
291 Islington St
Portsmouth, NH 03801-4217
Phone (603) 897-9340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86092789 | Other | NH | CDR |
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 |
|---|---|---|---|
| 0935 | NH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Nutrition & Exercise PLLC | Dietitian, Registered | Past | Accepting new patients |
| Nutrition in Motion | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- Portsmouth, NH
- NPI 1396483574
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1356841340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 ISLINGTON ST",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038014217",
"telephone_number": "603-897-9340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 LAFAYETTE RD STE 13",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038015465",
"telephone_number": "888-964-1975",
"fax_number": "877-743-5351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUINOOGE",
"first_name": "BRIANA",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-15",
"last_updated": "2022-05-26",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "0935",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR",
"identifier": "86092789",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.