Individual provider Active NPI

Rebecca Brickman, MS, RDN, LD

  • Registered Dietitian
  • Atlanta, GA
National Provider Identifier
1922837707
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD002964 Issued in GA
Practice address
1078 Vista TRL NE
Atlanta, GA 30324-4616
Phone
(404) 229-8133
NPI assigned
Jul 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD002964 GA Primary

Addresses

Primary practice location

1078 Vista TRL NE
Atlanta, GA 30324-4616

Mailing address

1078 Vista TRL NE
Atlanta, GA 30324-4616
Phone (404) 229-8133

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LD002964GAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Fig Health, Inc Dietitian, Registered Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1922837707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 VISTA TRL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244616",
            "telephone_number": "404-229-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 VISTA TRL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244616",
            "telephone_number": "404-229-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKMAN",
        "first_name": "REBECCA",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD002964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.