Healthcare Provider Details

I. General information

NPI: 1396382958
Provider Name (Legal Business Name): BRITTANY LYNN MCCLAY RDN, CSSD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRITTANY LYNN TRAMMELL

II. Dates (important events)

Enumeration Date: 12/03/2019
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 COCHRANE CIR
FORT CARSON CO
80913-4613
US

IV. Provider business mailing address

1650 COCHRANE CIRCLE EACH
FORT CARSON CO
80913
US

V. Phone/Fax

Practice location:
  • Phone: 719-526-9666
  • Fax:
Mailing address:
  • Phone: 719-526-9666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86099491
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code133VN1501X
TaxonomySports Dietetics Nutrition Registered Dietitian
License Number86099491
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: