Active NPI
Brian James McAnany, RDN
- Registered Dietitian
- Ardmore, PA
National Provider Identifier
1376260141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN007891
- Practice address
- 815 Cricket Ave Apt a
Ardmore, PA 19003-2052 - Phone
- (484) 639-7329
- NPI assigned
- Oct 24, 2022
- Sex
- Male
- Sole proprietor
- No
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 | DN007891 | PA | Primary |
Addresses
Primary practice location
815 Cricket Ave Apt a
Ardmore, PA 19003-2052
Mailing address
815 Cricket Ave Apt a
Ardmore, PA 19003-2052
Phone (484) 639-7329
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 |
|---|---|---|---|
| DN007891 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn Valley Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1376260141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 CRICKET AVE APT A",
"city": "ARDMORE",
"state": "PA",
"postal_code": "190032052",
"telephone_number": "484-639-7329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 CRICKET AVE APT A",
"city": "ARDMORE",
"state": "PA",
"postal_code": "190032052",
"telephone_number": "484-639-7329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCANANY",
"first_name": "BRIAN",
"middle_name": "JAMES",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-24",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN007891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.