Organization Active NPI

Nutritional Healing LLC

  • Nutrition Education Nutritionist
  • Appleton, WI
National Provider Identifier
1558730960
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Legal business name
NUTRITIONAL HEALING LLC
Practice address
400 N Richmond St Ste F
Appleton, WI 54911-4602
Phone
(920) 358-5764
NPI assigned
Sep 16, 2015
Last updated
Sep 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Kimberly Baehman, M.S.NPI 1316360324
Title
Clinical Nutritionist/Owner
Phone
(920) 358-5764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X NU Primary

Addresses

Primary practice location

400 N Richmond St Ste F
Appleton, WI 54911-4602

Mailing address

400 N Richmond St Ste F
Appleton, WI 54911-4602
Phone (920) 358-5764

National Provider Directory

National Provider Directory

Locations

400 N Richmond St
Ste F
Appleton, WI 54911
Phone (920) 358-5764

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1558730960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N RICHMOND ST STE F",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549114602",
            "telephone_number": "920-358-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N RICHMOND ST STE F",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549114602",
            "telephone_number": "920-358-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITIONAL HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "BAEHMAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CLINICAL NUTRITIONIST/OWNER",
        "authorized_official_telephone_number": "920-358-5764",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.