Brianna Maitland, RD, LDN
Dietitian, Registered in Chicago, IL. Individual provider (NPI-1).
NPI number1124810643
StatusActive
Last updated in NPPESMay 20, 2025
Details
- NPI
- 1124810643
- Entity type
- Individual (NPI-1)
- Name
- Brianna Maitland
- Credential
- RD, LDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 20, 2025
- Certification date
- May 20, 2025
- Last updated
- May 20, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 086290511 | – | Yes |
Practice location
2701 W 68th StChicago, IL 60629-1882
Phone 734-276-9465
Mailing address
1212 Varsity Blvd Apt 206Dekalb, IL 60115-1514
Phone 734-276-9465
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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