Active NPI
Brittany Alexis Masteller, RDN
- Registered Dietitian
- Holt, MI
National Provider Identifier
1508665589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 3790 Royale Dr
Holt, MI 48842-9754 - Phone
- (517) 331-1596
- NPI assigned
- Mar 11, 2025
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
3790 Royale Dr
Holt, MI 48842-9754
Mailing address
3790 Royale Dr
Holt, MI 48842-9754
Other names 1
- Brittany Alexis Persico
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
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": "1741651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1508665589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3790 ROYALE DR",
"city": "HOLT",
"state": "MI",
"postal_code": "488429754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3790 ROYALE DR",
"city": "HOLT",
"state": "MI",
"postal_code": "488429754",
"telephone_number": "517-331-1596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTELLER",
"first_name": "BRITTANY",
"middle_name": "ALEXIS",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-11",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "PERSICO",
"middle_name": "ALEXIS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Holt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.