NPI 1104790195 · live from the CMS NPI Registry
Brianna Lea Caldwell, MS, RD, LD
Dietitian, Registered in Anderson, IN. National Provider Identifier 1104790195, active.
NPI record
| NPI | 1104790195 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 209 Pearl St, Anderson, IN 46017 |
| Practice phone | 765-499-2719 |
| Enumerated | October 2, 2025 |
| Last updated | October 2, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 370033733A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.