Caitlyn Bailey
Individual provider Active NPI Registered Dietitian · Neenah, WI
NPI 1093545980 · NPPES record last updated Aug 5, 2024
Key facts
- NPI
- 1093545980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 3748-29 (WI)
- Practice address
- 630 S Green Bay Rd
Neenah, WI 54956-3190 - Phone
- (920) 642-3971
- NPI assigned
- Aug 5, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3748-29 | WI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrimental Healthcare LLC | Dietitian, Registered | Current |
Accepting new patients |
Locations
630 S Green Bay Rd
Neenah, WI 54956
Phone (920) 350-4098
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3748-29 | WI | Yes |
Addresses
Primary practice location
630 S Green Bay Rd
Neenah, WI 54956-3190
Mailing address
1743 Buckhorn LN
Neenah, WI 54956-1669
Other providers in Neenah, WI
- John Aufderheide
- Aurora Medical Group, Inc.
- Aurora Pharmacy Inc
- Back to Basics Community Clinic, Inc
- Faye Bader
- Carolyn Anne Baker
- Crystal L Bales
- Imran Ahmed Baloch
- Curtis Coulter Baltz
- Thomas Gary Banks
All providers in Neenah, WI · Registered Dietitian in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.