Bryna Gavin, MS, CNS

Primary specialty

NutritionistTaxonomy code 133N00000X

License

CNS17412 Issued in CA

Practice address

1122 El Paso Dr
Los Angeles, CA 90065-4226

Phone

(424) 259-0993

NPI assigned

Feb 14, 2018

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

Credentials

Certified Nurse Specialist, Master of Science

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 and National Provider Directory roles.

• The Simple Leaf, LLC

  • Nutritionist
  • North Hollywood, CA
  • NPI 1528667623
  NPD Authorized official

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1891295085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 EL PASO DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900654226",
            "telephone_number": "424-259-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 EL PASO DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900654226",
            "telephone_number": "424-259-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "BRYNA",
        "credential": "MS, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CA",
            "license": "CNS17412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noe Alfredo Gavidia
• Melissa Gabrielle Gavilanes, PSY.D.
• Gavin Herbert Co.
• Gavin Herbert Company
• Gavin Herbert Company
• Michelle Gavin, D.O.
• Paul Gavini, RRT
• Abigail Gawart
• Lalanya Katherine Gawne, D.C.
• Fay Jean Gawryn

• Nutritionist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.