Active NPI
Brittany Graber, R.D, L.D.N
- Registered Dietitian
- Feasterville Trevose, PA
National Provider Identifier
1548666191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 999003
- Practice address
- 415 Larchwood Ave
Feasterville Trevose, PA 19053-4407 - Phone
- (215) 801-6496
- NPI assigned
- Nov 10, 2014
- 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 | 999003 | PA | Primary |
Addresses
Primary practice location
415 Larchwood Ave
Feasterville Trevose, PA 19053-4407
Mailing address
415 Larchwood Ave
Feasterville Trevose, PA 19053-4407
Phone (215) 801-6496
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 999003 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Big Change Nutrition, LLC | 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.
-
- Registered Dietitian
- Feasterville Trevose, PA
- NPI 1053652933
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415577600000",
"number": "1548666191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 LARCHWOOD AVE",
"city": "FEASTERVILLE TREVOSE",
"state": "PA",
"postal_code": "190534407",
"telephone_number": "215-801-6496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 LARCHWOOD AVE",
"city": "FEASTERVILLE TREVOSE",
"state": "PA",
"postal_code": "190534407",
"telephone_number": "215-801-6496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRABER",
"first_name": "BRITTANY",
"credential": "R.D, L.D.N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-10",
"last_updated": "2014-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "999003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Feasterville Trevose, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.