Korissa Bailey
Individual provider Active NPI Registered Dietitian · Laconia, NH
NPI 1316405459 · NPPES record last updated Mar 7, 2019
Key facts
- NPI
- 1316405459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 80 Highland St
Laconia, NH 03246-3235 - Phone
- (603) 527-3211
- NPI assigned
- Mar 7, 2019
- 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)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
80 Highland St
Laconia, NH 03246-3235
Mailing address
7 Harmony Rd
Deerfield, NH 03037-1627
Phone (603) 809-1340
Other providers in Laconia, NH
- Alyssa Avery
- Alan Awrich
- Annie Ayala
- Lisa Ayers
- Bassem Azkul
- Laura A Bailey
- Rodney Ed Baker
- Gurvinder Singh Bali
- Emily Anne Ball
- Rebecca Lee Bammert
All providers in Laconia, NH · Registered Dietitian in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2019. 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.