Active NPI
Brittany Underwood
- Registered Dietitian
- Clarksburg, WV
National Provider Identifier
1750068763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1182
- Practice address
- 1 Medical Center Drive
Clarksburg, WV 26301-4155 - Phone
- (304) 623-3461
- NPI assigned
- Jun 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1182 | WV | Primary |
Addresses
Primary practice location
1 Medical Center Drive
Clarksburg, WV 26301-4155
Mailing address
137 Indian Run Rd
Salem, WV 26426-8576
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1182 | WV | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1750068763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 INDIAN RUN RD",
"city": "SALEM",
"state": "WV",
"postal_code": "264268576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DRIVE",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263014155",
"telephone_number": "304-623-3461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "BRITTANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-30",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "WV",
"license": "1182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.