Active NPI
Brandon Krebs, B.S. R.D. LDN
- Registered Dietitian
- Natick, MA
National Provider Identifier
1407186133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 203 Oak St.
Longfellow Sports Club
Natick, MA 01760-0000 - Phone
- (508) 653-4633
- Fax
- (508) 650-4986
- NPI assigned
- Dec 31, 2009
- Sex
- Male
- 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 | MA | Primary |
Addresses
Primary practice location
203 Oak St.
Longfellow Sports Club
Natick, MA 01760-0000
Mailing address
203 Oak St.
Longfellow Sports Club
Natick, MA 01760
Phone (508) 653-4633
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
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262217600000",
"number": "1407186133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 OAK ST.",
"address_2": "LONGFELLOW SPORTS CLUB",
"city": "NATICK",
"state": "MA",
"postal_code": "01760",
"telephone_number": "508-653-4633",
"fax_number": "508-650-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 OAK ST.",
"address_2": "LONGFELLOW SPORTS CLUB",
"city": "NATICK",
"state": "MA",
"postal_code": "017600000",
"telephone_number": "508-653-4633",
"fax_number": "508-650-4986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREBS",
"first_name": "BRANDON",
"name_prefix": "Mr.",
"credential": "B.S. R.D. LDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-31",
"last_updated": "2009-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Natick, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.