Active NPI
Brittany Damerow, RD, SNS
- Registered Dietitian
- Ortonville, MI
National Provider Identifier
1891455093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86080908
- Practice address
- 1826 Hayes Rd
Ortonville, MI 48462-9171 - Phone
- (989) 277-1875
- NPI assigned
- Dec 29, 2021
- 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 | 86080908 | MI | Primary |
Addresses
Primary practice location
1826 Hayes Rd
Ortonville, MI 48462-9171
Mailing address
1826 Hayes Rd
Ortonville, MI 48462-9171
Phone (989) 277-1875
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86080908 | MI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1891455093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1826 HAYES RD",
"city": "ORTONVILLE",
"state": "MI",
"postal_code": "484629171",
"telephone_number": "989-277-1875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1826 HAYES RD",
"city": "ORTONVILLE",
"state": "MI",
"postal_code": "484629171",
"telephone_number": "989-277-1875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMEROW",
"first_name": "BRITTANY",
"credential": "RD, SNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-29",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "86080908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ortonville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.