Carrie Kristen Baum, R.D.
Individual provider Active NPI Registered Dietitian · Appleton, WI
NPI 1154447480 · NPPES record last updated Sep 17, 2015
Key facts
- NPI
- 1154447480
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2049-29 (WI)
- Practice address
- 3925 N Gateway Dr
Appleton, WI 54913-7863 - Phone
- (920) 749-1171
- NPI assigned
- Mar 21, 2007
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2049-29 | WI | Yes |
Addresses
Primary practice location
3925 N Gateway Dr
Appleton, WI 54913-7863
Mailing address
3232N Ballard Rd 200
Appleton, WI 54911-8804
Phone (920) 749-9668
Other providers in Appleton, WI
- Chelsea L Baucom-Young
- Bailey A Bauer
- Danielle Carol Bauer
- Margaret L Bauer
- Alison L Baughman
- Julie N Baumann
- Kristin Arla Baumann
- Jessica L Baumbach
- Lane Baumbach
- Ellen Baumgartner
All providers in Appleton, 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 Sep 17, 2015. 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.