=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316885825
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRITTANY T DENNIS-MCLEOD RDN, LDN, MS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/24/2026
-----------------------------------------------------
Last Update Date | 03/24/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2130 LARKSPUR CT
-----------------------------------------------------
City | PENNSBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18073-1230
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 620-750-0573
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2130 LARKSPUR CT
-----------------------------------------------------
City | PENNSBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18073-1230
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number | DN006902
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------