Cecily Brooks, RD, LDN
Individual provider Active NPI Registered Dietitian · Crofton, MD
NPI 1891463501 · NPPES record last updated Nov 15, 2024
Key facts
- NPI
- 1891463501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DX5423 (MD)
- Practice address
- 2424 Sandwich CT
Crofton, MD 21114-1681 - Phone
- (202) 431-3023
- NPI assigned
- Aug 30, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX5423 | MD | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DX5423 | MD | Yes |
Addresses
Primary practice location
2424 Sandwich CT
Crofton, MD 21114-1681
Mailing address
2424 Sandwich CT
Crofton, MD 21114-1681
Phone (202) 431-3023
Other providers in Crofton, MD
- Breakthroughs Psychological Services, LLC
- Brennan Chiropractic, LLC
- Janet Brennan Brennan-Edwards
- Bright Bridge Compassionate Care
- Brightview Crofton, LLC
- Kenice Brooks
- Danielle Theresa Brown
- Jason Brown
- Lindsay Brown
- Elise Bruce
All providers in Crofton, MD · Registered Dietitian in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.