BRENNA TUCKER RD, LDN
NPI 1669354403
Dietitian, Registered in Philadelphia, PA

Active since July 23, 2025
3510 SCOTTS LN, PHILADELPHIA, PA 19129(612) 840-0349 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Dietitian, Registered

About BRENNA TUCKER

This page provides the complete NPI Profile along with additional information for Brenna Tucker, a provider established in Philadelphia, Pennsylvania with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1669354403 assigned on July 2025. The practitioner's primary taxonomy code is 133V00000X with license number DN009119 (PA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1669354403 Verify this NPI
Provider Name
BRENNA TUCKER RD, LDN
Gender
Female
Entity Type
Individual
Location Address
3510 SCOTTS LN PHILADELPHIA, PA 19129
Location Phone
(612) 840-0349
Mailing Address
3510 SCOTTS LN APT 3144 PHILADELPHIA, PA 19129
Mailing Phone
(612) 840-0349
Is Sole Proprietor?
Yes
Enumeration Date
07-23-2025
Last Update Date
07-23-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
DN009119
License State
PA
Taxonomy Description
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669354403, enumerated as an "individual" on July 23, 2025.

The provider is located at 3510 SCOTTS LN PHILADELPHIA, PA 19129 and the phone number is (612) 840-0349.

Dietitian, Registered with taxonomy code 133V00000X.