Andrea Louise Braverman, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

R362093 Issued in CA

Practice address

1 Madrone St
Willits, CA 95490-4225

Phone

(707) 456-3132

Fax

(707) 456-3032

NPI assigned

Jan 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629120860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MADRONE ST",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954904225",
            "telephone_number": "707-456-3132",
            "fax_number": "707-456-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MADRONE ST",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954904225",
            "telephone_number": "707-456-3132",
            "fax_number": "707-456-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVERMAN",
        "first_name": "ANDREA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "R362093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Ann Blair, DOULA
• Cindy W. Bodensteiner, RN
• Cletus Gary Bodensteiner, M.D.
• William W Bowen, M.D.
• Craig M Boyle, D.C.
• Frank A Braverman, PHARMD
• Victoria Ann Brekelmans
• Pamela Anne Brown, MFT
• Joleen Buffington, WHNP-BC
• Care B&B Inc

• Registered Dietitian in Willits, CA
• Providers in Willits, CA by specialty
• Registered Dietitian in California

• 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.

Verify at the official NPI Registry.