Active NPI
Brenda Neubaum, RD, RDN
- Registered Dietitian
- Denver, CO
National Provider Identifier
1851925820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 720096
- Practice address
- 7343 E 8TH PL
Denver, CO 80230-6926 - Phone
- (303) 588-0893
- NPI assigned
- Feb 27, 2020
- 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 | 720096 | CO | Primary |
Addresses
Primary practice location
7343 E 8TH PL
Denver, CO 80230-6926
Mailing address
7343 E 8TH PL
Denver, CO 80230-6926
Phone (303) 588-0893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25760631-0000 | Other | CO | STATE OF COLORADO |
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 |
|---|---|---|---|
| 720096 | CO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1851925820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7343 E 8TH PL",
"city": "DENVER",
"state": "CO",
"postal_code": "802306926",
"telephone_number": "303-588-0893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7343 E 8TH PL",
"city": "DENVER",
"state": "CO",
"postal_code": "802306926",
"telephone_number": "303-588-0893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUBAUM",
"first_name": "BRENDA",
"credential": "RD, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-27",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "720096",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF COLORADO",
"identifier": "25760631-0000",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.