Brake Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

BRAKE NUTRITION LLC

Practice address

4 W Dry Creek Cir Ste 100
Littleton, CO 80120-4457

Phone

(720) 443-1527

NPI assigned

Jan 5, 2022

Organization subpart

No

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

Authorized official

Name

Brittany Brake, RDN, CDCESNPI 1285249441

Title

Owner & Dietitian

Phone

(720) 443-1527

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brittany Brake, RDN

  • Registered Dietitian
  • Littleton, CO
  • NPI 1285249441

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1659032290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W DRY CREEK CIR STE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W DRY CREEK CIR STE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204457",
            "telephone_number": "720-443-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAKE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "BRAKE",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER & DIETITIAN",
        "authorized_official_telephone_number": "720-443-1527",
        "authorized_official_credential": "RDN, CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DIETITIAN NUTRITIONIST",
            "identifier": "164005793",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED DIABETES CARE AND EDUCATION SPECIALIST",
            "identifier": "32100116",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN NUTRITIONIST",
            "identifier": "1064329",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "www.brakenutrition.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4 W Dry Creek Cir Ste 100",
            "city": "Littleton",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801204457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Dietitian in Littleton, CO
• Providers in Littleton, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.