Brittany J Poulson, RDN, CD, CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1034638 Issued in UT

Practice address

102 Marciano Way
Grantsville, UT 84029-5575

Phone

(435) 277-0611

NPI assigned

Jul 18, 2013

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Family First Medical Center, PLLC

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1033314273
  NPD
• Precision Medical Care LLC

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1780266288

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1881036820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1171",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840291171",
            "telephone_number": "435-277-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MARCIANO WAY",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840295575",
            "telephone_number": "435-277-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULSON",
        "first_name": "BRITTANY",
        "middle_name": "J",
        "credential": "RDN, CD, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "1034638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Penton, APRN
• Sierra Perry
• Alexis Petersen
• Braxten Petersen
• Kaybree Pollock
• Keiko Pozo
• Braxton Preece
• Regina Tippets PLLC
• Regina Tippets PLLC
• Mariah Rennenmann

• Registered Dietitian in Grantsville, UT
• Providers in Grantsville, UT by specialty
• Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.