Haley Christine Brannan, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2020034244 Issued in MO

Practice address

2550 Honolulu Ave Ste 106
Montrose, CA 91020-1859

Phone

(314) 265-1628

NPI assigned

Nov 16, 2020

Last updated

Jan 12, 2024By 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

State licenses

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.

• Feeding Your Soul Nutrition

  • Registered Dietitian
  • San Diego, CA
  • NPI 1033721907

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1861095655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9215 LEMONA DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631235528",
            "telephone_number": "314-265-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 HONOLULU AVE STE 106",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201859",
            "telephone_number": "314-265-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNAN",
        "first_name": "HALEY",
        "middle_name": "CHRISTINE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2020034244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Seas Travel LLC (Montrose Medical Supply)
• Linda Bonilla, MFT
• Mary Bothwell, C.S.B.
• Debra Renee Bowden-Sierra, R.N., M.F.T.
• Garo Boyajian
• Theresa Lynn Brown, LPCC
• Bryan Haas DC, Inc.
• Bullos Laboratories Inc
• Todd Jacob Burgener, P.T, DPT
• Calm Mind Therapy, a Licensed Clinical Social Worker Corporation

• Registered Dietitian in Montrose, CA
• Providers in Montrose, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.