LANE BAUMBACH


Address: 1818 N Meade St, Appleton, WI 54911-3454
Phone: 8002364101

LANE BAUMBACH (NPI# 1790309755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 86152243 WI Dietary & Nutritional Service Providers

Office Location

Street Address 1818 N MEADE ST
City APPLETON
State WI
Zip Code 54911-3454

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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Competitor

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City APPLETON
Zip Code 54911

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Dataset Information

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.

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