Brianna Siders, RD

Primary specialty

NutritionistTaxonomy code 133N00000X

License

ND12159 Issued in FL

Practice address

426 Industrial Ave Ste 130
Williston, VT 05495-4449

Phone

(724) 771-8081

NPI assigned

Jun 18, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brianna.siders@168064768409604.direct.elationemr.com
• Direct secure messaging: brianna.fait.1@9582.direct.athenahealth.com

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.

• No Diet Dietitian, LLC

  • Registered Dietitian
  • Burlington, VT
  • NPI 1689141988

  Dietitian, Registered

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740268800000",
    "number": "1477179281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6063",
            "fax_number": "904-539-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 INDUSTRIAL AVE STE 130",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054954449",
            "telephone_number": "724-771-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDERS",
        "first_name": "BRIANNA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2025-02-23",
        "certification_date": "2025-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND12159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaws Supermarkets Inc
• Karin L Shearer, LICSW
• Michelle Tamara Shepard, M.D., PHD.
• Linda Marie Sheridan, OTR/L
• Laken N Shook
• Kimberly A. Sikule, M.D.
• Ilana Silverstone
• David Nicholas Simcoe, D.O.
• Emma Rae Simmons, ATC
• Kennedi Simons

• Nutritionist in Williston, VT
• Providers in Williston, VT by specialty
• Nutritionist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.