Individual provider Active NPI

Brianna Nichole Gillespie, RDN

  • Registered Dietitian
  • New Braunfels, TX
National Provider Identifier
1720839376
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT89218 Issued in TX
Practice address
2834 Silo Turn
New Braunfels, TX 78130-6092
Phone
(408) 314-3854
NPI assigned
Apr 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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 DT89218 TX Primary

Addresses

Primary practice location

2834 Silo Turn
New Braunfels, TX 78130-6092

Mailing address

2834 Silo Turn
New Braunfels, TX 78130-6092
Phone (408) 314-3854

Other names 1

  • Brianna Fisher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240528001771 TX Practitioner - Registered Dietitian Or Nutrition Professional 7810339447 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT89218TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Food 4 Success Dietitian, Registered CurrentSince Apr 3, 2024 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

1067 FM 306
Ste 404
New Braunfels, TX 78130
Phone (210) 439-1714

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1720839376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 SILO TURN",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306092",
            "telephone_number": "408-314-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2834 SILO TURN",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306092",
            "telephone_number": "408-314-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "BRIANNA",
        "middle_name": "NICHOLE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT89218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "FISHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.