Katelyn Bailey, RD

Individual provider Active NPI Registered Dietitian · Zachary, LA

NPI 1043965221 · NPPES record last updated May 4, 2023

Key facts

NPI
1043965221
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
2885 (LA)
Practice address
6300 Main St
Zachary, LA 70791-4037
Phone
(225) 658-4428
NPI assigned
Feb 16, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2885LAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2885 LA Yes

Addresses

Primary practice location

6300 Main St
Zachary, LA 70791-4037

Mailing address

6300 Main St
Zachary, LA 70791-4037
Phone (225) 658-4428

Other providers in Zachary, LA

All providers in Zachary, LA · Registered Dietitian in Louisiana

Sources for this page

Verify at the official NPI Registry.