Baylee K Reller, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2022031650 Issued in MO

Practice address

132 Bennington CT
Troy, MO 63379-4476

Phone

(636) 352-9672

NPI assigned

Jan 18, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1194430686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 BENNINGTON CT",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633794476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 BENNINGTON CT",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633794476",
            "telephone_number": "636-352-9672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 Druid Rd E",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337563914",
            "country_code": "US",
            "telephone_number": "636-352-9672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RELLER",
        "first_name": "BAYLEE",
        "middle_name": "K",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "11634",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2022031650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ray of Sunshine Support Services
• Jennifer G Ray, MD
• Molly Ream
• Robert S Reeves, D.C.
• Dale L Reinker, D.O.
• Harvey Donald Rhoads, D.C.
• Daniel A Robb, MA, LPC
• Kimberly Lynn Roberts
• Jacob Roland, DC
• Peter Roy, DC

• Registered Dietitian in Troy, MO
• Providers in Troy, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.