Traci Bolin, RDN, LD LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1966 Issued in KS

Legal business name

TRACI BOLIN, RDN, LD LLC

Practice address

14218 W Bluegrass CT
Wichita, KS 67235-8065

Phone

(316) 312-6388

NPI assigned

Nov 6, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Traci D Bolin, RDN, LD

Title

Registered Dietitian

Phone

(316) 312-6388

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1831595560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14218 W BLUEGRASS CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672358065",
            "telephone_number": "316-312-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14218 W BLUEGRASS CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672358065",
            "telephone_number": "316-312-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACI BOLIN, RDN, LD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "BOLIN",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "316-312-6388",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "1966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles H Townsend, LSCSW
• Lynna Toy, ARNP
• Tracy Toy, PHARM D
• Yvonna Marie Tozier, RN, BSN, CWON
• Karina Huong Ngoc Thien Trac
• Traditions Health Care of Wichita, LLC
• Samantha Kay Train, CRNA
• Anita J Trainer, D.C., M.P.H.
• Brenda L Trammel, LCP
• Lacey Trammell

• Registered Dietitian in Wichita, KS
• Providers in Wichita, KS by specialty
• Registered Dietitian in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.