Individual provider Active NPI

Brenda Bernardin, LMT

  • Nutrition Education Nutritionist
  • San Diego, CA
National Provider Identifier
1750746954
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Practice address
4009 Carmel View Rd Unit 165
San Diego, CA 92130-2362
Phone
(619) 300-4320
NPI assigned
Dec 15, 2015
Last updated
Dec 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X Primary

Addresses

Primary practice location

4009 Carmel View Rd Unit 165
San Diego, CA 92130-2362

Mailing address

4009 Carmel View Rd Unit 165
San Diego, CA 92130-2362
Phone (619) 300-4320

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

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1750746954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 CARMEL VIEW RD UNIT 165",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302362",
            "telephone_number": "619-300-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 CARMEL VIEW RD UNIT 165",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302362",
            "telephone_number": "619-300-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDIN",
        "first_name": "BRENDA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.