LANE BAUMBACH (NPI# 1790309755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790309755 |
Entity Type | Individual |
Full Name | LANE BAUMBACH |
Credential | MS, RD |
Practice Address |
1818 N Meade St Appleton WI 54911-3454 |
Mailing Address |
3617 E Glory Ln Apt 10 Appleton WI 54913-8102 |
Practice Telephone | 8002364101 |
Enumeration Date | 2020-06-04 |
Last Update Date | 2020-06-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 86152243 | WI | Dietary & Nutritional Service Providers |
Street Address |
1818 N MEADE ST |
City | APPLETON |
State | WI |
Zip Code | 54911-3454 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588666853 | Appleton Emergency Services S C | Emergency Medicine | 1818 N Meade St, Appleton, WI 54911-3454 | 2005-06-01 |
1720691553 | Katie Jo Bares | Physical Therapist | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-08-31 |
1306454053 | Samantha L Thiede | Nurse Practitioner | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-07-20 |
1346867272 | Lauren Renee Schauer | Registered Nurse | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-06-26 |
1326661026 | Thedacare Regional Medical Center - Appleton, Inc. | Medicare Defined Swing Bed Unit | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-05-28 |
1568095016 | Samantha Putzer | Physician Assistant | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-02-12 |
1083245120 | Krystina L Putnam | Registered Nurse | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-01-28 |
1366097040 | Kelsey G Alt | Physician Assistant | 1818 N Meade St, Appleton, WI 54911-3454 | 2019-08-08 |
1528611217 | Abigail M Witthuhn | Physician Assistant | 1818 N Meade St, Appleton, WI 54911-3454 | 2019-07-22 |
1043862998 | Anna L King | Physician Assistant | 1818 N Meade St, Appleton, WI 54911-3454 | 2019-07-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
Find all providers in zip 54911 |
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 |
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 |
1952872335 | Natalie Hartjes | Dietitian, Registered | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2018-12-11 |
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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.