Danielle Bauer, R.D.

Individual provider Active NPI Registered Dietitian · Mason, MI

NPI 1083060842 · NPPES record last updated Jun 6, 2016

Key facts

NPI
1083060842
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
929865 (MI)
Practice address
776 E Columbia St
Mason, MI 48854-1345
Phone
(517) 883-5028
Fax
(517) 883-5028
NPI assigned
May 11, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
929865MIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Dansville Country Care LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 929865 MI Yes
Nutritionist 133N00000X MI

Addresses

Primary practice location

776 E Columbia St
Mason, MI 48854-1345

Mailing address

776 E Columbia St
Mason, MI 48854-1345
Phone (517) 883-5028

Other providers in Mason, MI

All providers in Mason, MI · Registered Dietitian in Michigan

Sources for this page

Verify at the official NPI Registry.