Jennifer Bragg, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86068457 Issued in NU

Practice address

4600 N 24TH St Unit 209
Phoenix, AZ 85016-5369

Phone

(310) 968-2126

NPI assigned

Jan 28, 2021

Last updated

Jan 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bragg Nutrition LLC

  • Registered Dietitian
  • Phoenix, AZ
  • NPI 1154912590

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1700477130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 N 24TH ST UNIT 209",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165369",
            "telephone_number": "310-968-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N 24TH ST UNIT 209",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165369",
            "telephone_number": "310-968-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "JENNIFER",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "86068457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Brady, MD
• Sarah Rachel Brady, MD
• Sean Patrick Brady, DO
• Samuel Benjamin Braff, M.D.
• Bragg Nutrition LLC
• Zachary Timothy Scott Bragg
• Kristina Alexis Braham
• Viorica Braica
• Matthew Braig, D.O.
• Ayemoba Omo Braimah, PHARMD

• Registered Dietitian in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.