MRS. CARRIE KRISTEN BAUM (NPI# 1154447480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154447480 |
| Entity Type | Individual |
| Full Name | MRS. CARRIE KRISTEN BAUM |
| Credential | R.D. |
| Practice Address |
3925 N Gateway Dr Appleton WI 54913-7863 |
| Mailing Address |
3232n Ballard Rd 200 Appleton WI 54911-8804 |
| Practice Telephone | 9207491171 |
| Mailing Telephone | 9207499668 |
| Mailing Fax Number | 9207345307 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2015-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2049-29 | WI | Dietary & Nutritional Service Providers |
| Street Address |
3925 N GATEWAY DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-7863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780677906 | Douglas P Calvin | Internal Medicine | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2005-08-23 |
| 1750820759 | Adam Edward Luboff | Pharmacist | 3925 N Gateway Dr, Suite 100, Appleton, WI 54913-7863 | 2017-02-23 |
| 1003352733 | Fox Valley Hematology & Oncology S C | Pharmacy | 3925 N Gateway Dr, Suite 100, Appleton, WI 54913-7863 | 2017-01-19 |
| 1801267240 | Dana Lynn Doke | Health Educator | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2015-10-12 |
| 1629446331 | Crystal Guttman | Nurse Practitioner | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2015-09-11 |
| 1750628970 | Sara Meiers | Clinical Nurse Specialist | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2013-01-08 |
| 1386877538 | Jennifer Giebel | Nurse Practitioner | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2009-09-03 |
| 1194925479 | Daisy A Boehm | Nurse Practitioner | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2007-07-24 |
| 1063535524 | Fox Valley Hematology & Oncology, S.c. | Internal Medicine | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2007-04-09 |
| 1316072226 | Nancy L Gudex | Nurse Practitioner | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2007-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778550 | Kirsten White | Dietitian, Registered | W3021 Cara Way, Appleton, WI 54915-3991 | 2020-07-27 |
| 1528557345 | Diane Kathryn Schuh | Dietitian, Registered | 1602 N Meade St, Appleton, WI 54911-3770 | 2018-05-07 |
| 1780073320 | Alicia Jennerjohn | Dietitian, Registered | 3416 N Association Dr, Appleton, WI 54914-1479 | 2015-01-20 |
| 1689719148 | Nikki Lynn Ott | Dietitian, Registered | 2701 N Oneida St Ste E, Appleton, WI 54911-2082 | 2007-02-21 |
| 1982623534 | John H Bradley Deptartment of Veterans Affairs Outpatient Clinic | Dietitian, Registered | 10 Tri-parkway, Appleton, WI 54914 | 2006-07-18 |
| 1790309755 | Lane Baumbach | Dietitian, Registered | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-06-04 |
| 1366080590 | Tiffany Ramsey | Dietitian, Registered | 10 Tri Park Way, Appleton, WI 54914-1658 | 2019-12-18 |
| 1811546815 | Nutrimental Healthcare LLC | Dietitian, Registered | 4321 W College Ave Ste 200, Appleton, WI 54914-3968 | 2019-09-11 |
| 1205483831 | Mercade Lea Pazdra | Dietitian, Registered | 3416 N Association Dr, Appleton, WI 54914-1479 | 2019-08-19 |
| 1447814108 | Amy L O'connell | Dietitian, Registered | 1818 N Meade St, Appleton, WI 54911-3454 | 2019-04-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.