Active NPI
Armanda M Brunicardi, RD,LD
- Registered Dietitian
- Georgetown, OH
National Provider Identifier
1487869665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3851
- Practice address
- 425 Home St
Georgetown, OH 45121-1407 - Phone
- (937) 378-7892
- NPI assigned
- May 11, 2007
- 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 | 3851 | OH | Primary |
Addresses
Primary practice location
425 Home St
Georgetown, OH 45121-1407
Mailing address
6035 State Route 505
Georgetown, OH 45121-9773
Phone (937) 378-7892
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. | Dietitian, Registered | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487869665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6035 STATE ROUTE 505",
"city": "GEORGETOWN",
"state": "OH",
"postal_code": "451219773",
"telephone_number": "937-378-7892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 HOME ST",
"city": "GEORGETOWN",
"state": "OH",
"postal_code": "451211407",
"telephone_number": "937-378-7892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNICARDI",
"first_name": "ARMANDA",
"middle_name": "M",
"credential": "RD,LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "3851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.