Individual provider Active NPI

Chau Nguyen Brodnan, MS, CD, RDN

  • Registered Dietitian
  • Seattle, WA
National Provider Identifier
1962143438
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI60317698 Issued in WA
Practice address
3229 NW 60TH St
Seattle, WA 98107-2610
Phone
(206) 734-5633
NPI assigned
Apr 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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 DI60317698 WA Primary

Addresses

Primary practice location

3229 NW 60TH St
Seattle, WA 98107-2610

Mailing address

3229 NW 60TH St
Seattle, WA 98107-2610
Phone (206) 734-5633

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
DI60317698WAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1962143438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 NW 60TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981072610",
            "telephone_number": "206-734-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 NW 60TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981072610",
            "telephone_number": "206-734-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODNAN",
        "first_name": "CHAU",
        "middle_name": "NGUYEN",
        "credential": "MS, CD, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60317698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.