Bailey Birdsall, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86210179 Issued in MI

Practice address

3946 Black Rd
Charlevoix, MI 49720-9563

Phone

(231) 675-7715

NPI assigned

Sep 21, 2026

Last updated

Sep 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1871405308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3946 BLACK RD",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497209563",
            "telephone_number": "231-675-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3946 BLACK RD",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497209563",
            "telephone_number": "231-675-7715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Glen Lakes Ct",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750987317",
            "country_code": "US",
            "telephone_number": "972-989-2971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Lafayette Ave NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495031660",
            "country_code": "US",
            "telephone_number": "231-675-7715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRDSALL",
        "first_name": "BAILEY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "86210179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Charlevoix, MI
• Providers in Charlevoix, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.