Individual provider Active NPI

Brandi Fitzsimmons, RD

  • Registered Dietitian
  • Mountain View, CA
National Provider Identifier
1568171965
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
888066 Issued in CA
Practice address
2500 Grant Rd
Mountain View, CA 94040-4302
Phone
(650) 940-7005
NPI assigned
Nov 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 888066 CA Primary

Addresses

Primary practice location

2500 Grant Rd
Mountain View, CA 94040-4302

Mailing address

421 Grant St
Santa Cruz, CA 95060-2922
Phone (831) 419-9298

Other identifiers 1

IdentifierTypeStateIssuer
0OtherI DO NOT HAVE PROVIDER NUMBERS

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL brandi_fitzsimmons@elcaminohealth.org El Camino Health

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

State licenses

LicenseStateTypeSpecialty
888066CAMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1568171965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 GRANT ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602922",
            "telephone_number": "831-419-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 GRANT RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404302",
            "telephone_number": "650-940-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZSIMMONS",
        "first_name": "BRANDI",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "888066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "brandi_fitzsimmons@elcaminohealth.org",
            "affiliation": "Y",
            "endpointDescription": "employer email",
            "affiliationName": "El Camino Health",
            "address_1": "2500 Grant Rd",
            "city": "Mountain View",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940404302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.