Active NPI
Charity Brennan, MS, RDN/LDN, CNSC
- Registered Dietitian
- Boynton Beach, FL
National Provider Identifier
1487375564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 9045 Tremezzo LN
Boynton Beach, FL 33472-2749 - Phone
- (314) 363-3029
- NPI assigned
- Sep 7, 2022
- 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 | Primary |
Addresses
Primary practice location
9045 Tremezzo LN
Boynton Beach, FL 33472-2749
Mailing address
9045 Tremezzo LN
Boynton Beach, FL 33472-2749
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group of Illinois PLLC | Current | Accepting new patients |
Locations
2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358
2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183
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.
-
- Specialist
- Zion, IL
- NPI 1548258072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1487375564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9045 TREMEZZO LN",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334722749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9045 TREMEZZO LN",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334722749",
"telephone_number": "314-363-3029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "CHARITY",
"credential": "MS, RDN/LDN, CNSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-07",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.