Active NPI
Brianna Meghan Burghard, RD
- Pediatric Nutrition Registered Dietitian
- Stony Brook, NY
National Provider Identifier
1386009736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- 006855
- Practice address
- HSC 11 RM 048
Stony Brook, NY 11794-8111 - Phone
- (631) 444-8115
- Fax
- (631) 444-6045
- NPI assigned
- Dec 29, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 006855 | NY | Primary |
Addresses
Primary practice location
HSC 11 RM 048
Stony Brook, NY 11794-8111
Mailing address
PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 444-0650
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
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.
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- Registered Dietitian
- Austin, TX
- NPI 1558097824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451347200000",
"number": "1386009736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1559",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117900989",
"telephone_number": "631-444-0650",
"fax_number": "631-638-4170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HSC 11 RM 048",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948111",
"telephone_number": "631-444-8115",
"fax_number": "631-444-6045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGHARD",
"first_name": "BRIANNA",
"middle_name": "MEGHAN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-29",
"last_updated": "2015-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "NY",
"license": "006855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.