Active NPI
Bailey Michelle Short-Dickmann, RD, LD, CLS
- Registered Dietitian
- Napoleon, OH
National Provider Identifier
1497481451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD.08639
- Practice address
- N084 County Road 17D
Napoleon, OH 43545-9624 - Phone
- (419) 906-5097
- NPI assigned
- Jul 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD.08639 | OH | Primary |
Addresses
Primary practice location
N084 County Road 17D
Napoleon, OH 43545-9624
Mailing address
N084 County Road 17D
Napoleon, OH 43545-9624
Phone (419) 906-5097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD.08639 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659139200000",
"number": "1497481451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N084 COUNTY ROAD 17D",
"city": "NAPOLEON",
"state": "OH",
"postal_code": "435459624",
"telephone_number": "419-906-5097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N084 COUNTY ROAD 17D",
"city": "NAPOLEON",
"state": "OH",
"postal_code": "435459624",
"telephone_number": "419-906-5097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT-DICKMANN",
"first_name": "BAILEY",
"middle_name": "MICHELLE",
"credential": "RD, LD, CLS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-30",
"last_updated": "2022-07-30",
"certification_date": "2022-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD.08639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Napoleon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.