Brandy Winfree, RDN, LLC

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

Legal business name

BRANDY WINFREE, RDN, LLC

Practice address

410 Emerald Pointe Dr
Mary Esther, FL 32569-2767

Phone

(318) 210-6429

NPI assigned

Oct 11, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandy Lynn Winfree Root, RD, CSR, LDN

Title

Renal Dietitian

Phone

(318) 210-6429

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1902687361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 EMERALD POINTE DR",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325692767",
            "telephone_number": "318-210-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 EMERALD POINTE DR",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325692767",
            "telephone_number": "318-210-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDY WINFREE, RDN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "ROOT",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "LYNN WINFREE",
        "authorized_official_title_or_position": "RENAL DIETITIAN",
        "authorized_official_telephone_number": "318-210-6429",
        "authorized_official_credential": "RD, CSR, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.