Active NPI
Ellie Anne Brennan, MS, RDN, LN
- Registered Dietitian
- Bozeman, MT
National Provider Identifier
1407654924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 150312
- Practice address
- 14 S Willson Ave
Bozeman, MT 59715-6232 - Phone
- (406) 451-7370
- NPI assigned
- Mar 3, 2025
- Last updated
- Mar 3, 2025
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 150312 | MT | Primary |
Addresses
Primary practice location
14 S Willson Ave
Bozeman, MT 59715-6232
Mailing address
4379 Brookside LN Unit B
Bozeman, MT 59718-6377
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150312 | MT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellie Brennan Nutrition Counseling | Dietitian, Registered | Past | Accepting new patients |
| Eating Disorder Center of Montana | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1407654924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4379 BROOKSIDE LN UNIT B",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597186377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 S WILLSON AVE",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156232",
"telephone_number": "406-451-7370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "ELLIE",
"middle_name": "ANNE",
"credential": "MS, RDN, LN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-03",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MT",
"license": "150312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.