Active NPI
Noor Brifkani, RDN
- Pediatric Nutrition Registered Dietitian
- Cookeville, TN
National Provider Identifier
1518453877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- 2134
- Practice address
- 427 N Willow Ave Ste C
Cookeville, TN 38501-2354 - Phone
- (931) 559-5959
- Fax
- (833) 992-2327
- NPI assigned
- Jul 10, 2018
- 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 |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 2134 | Primary |
Addresses
Primary practice location
427 N Willow Ave Ste C
Cookeville, TN 38501-2354
Mailing address
427 N Willow Ave Ste C
Cookeville, TN 38501-2354
Phone (931) 559-5959
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. | 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.
-
- Registered Dietitian
- Austin, TX
- NPI 1558097824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1518453877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 N WILLOW AVE STE C",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012354",
"telephone_number": "931-559-5959",
"fax_number": "833-992-2327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 N WILLOW AVE STE C",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012354",
"telephone_number": "931-559-5959",
"fax_number": "833-992-2327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIFKANI",
"first_name": "NOOR",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": "2134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.