TRACI BOLIN, RDN, LD LLC (NPI# 1831595560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831595560 |
| Entity Type | Organization |
| Organization Name | TRACI BOLIN, RDN, LD LLC |
| Practice Address |
14218 W Bluegrass Ct Wichita KS 67235-8065 |
| Practice Telephone | 3163126388 |
| Mailing Telephone | 3163126388 |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-12-30 |
| Authorized Official Name | MRS. TRACI D BOLIN (REGISTERED DIETITIAN) |
| Authorized Official Telephone | 3163126388 |
| Authorized Official Credential | RDN, LD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1966 | KS | Dietary & Nutritional Service Providers |
| Street Address |
14218 W BLUEGRASS CT |
| City | WICHITA |
| State | KS |
| Zip Code | 67235-8065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275093205 | Kimberly Mcminn-rogers | Counselor | 1403 N Blackstone Ct, Wichita, KS 67235 | 2019-03-25 |
| 1609341882 | Kara Jean Steen | Rehabilitation Practitioner | 12112 W Kellogg Ave, Wichita, KS 67235 | 2018-10-03 |
| 1528339199 | Maria Boothe | Pharmacist | 13534 W Maple Street, Wichita, KS 67235 | 2012-01-13 |
| 1528009966 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 13415 W Maple St, Wichita, KS 67235 | 2006-06-09 |
| 1982916995 | Elizabeth Lynn Flax | Family Medicine | 13610 W Maple St, Wichita, KS 67235 | 2010-07-07 |
| 1437371721 | Benjamin Davies Young | Orthopaedic Surgery | 12112 W Kellogg St, Wichita, KS 67235 | 2007-05-03 |
| 1962551051 | Christopher Todd Roy | Specialist/Technologist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2007-01-09 |
| 1417579905 | Levi Mcgee | Physical Therapist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2020-05-07 |
| 1750911392 | Michael Brian Harvey | Specialist/Technologist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2020-01-23 |
| 1154816320 | Joseph Lewis | Specialist/Technologist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2018-06-28 |
| Find all providers in zip 67235 | ||||
| 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 |
|---|---|---|---|---|
| 1114531944 | Ellen Marie Carp | Dietitian, Registered | 2728 N Hoover Rd, Wichita, KS 67205-1031 | 2020-08-31 |
| 1750991238 | Tyler Downs | Dietitian, Registered | 1542 N Mesa St, Wichita, KS 67212-1237 | 2020-08-09 |
| 1356960256 | Emily Lincicome | Dietitian, Registered | 1056 N Porter Ave, Wichita, KS 67203-3023 | 2020-04-10 |
| 1427681428 | Madison Osburn | Dietitian, Registered | 3450 N Rock Rd Ste 510, Wichita, KS 67226-1355 | 2020-02-18 |
| 1356868392 | Brianna Rae Sommers | Dietitian, Registered | 1660 N Tyler Rd Ste M, Wichita, KS 67212-4917 | 2017-08-29 |
| 1891184081 | Deborah Burchardt | Dietitian, Registered | 551 N Hillside St Ste 102, Wichita, KS 67214-4940 | 2015-01-12 |
| 1679904809 | Julia Bippert | Dietitian, Registered | 8110 E 32nd St N Ste 125, Wichita, KS 67226-2644 | 2013-12-13 |
| 1376553958 | Kyndra Elise Hamblin | Dietitian, Registered | 2349 S Milstead Ct, Wichita, KS 67209-3610 | 2006-08-08 |
| 1164488243 | Sandra L Martens | Dietitian, Registered | 7111 E 21st St N Ste A, Wichita, KS 67206 | 2006-04-26 |
| 1346847191 | Cheryl A Cortez | Dietitian, Registered | 1151 N Rock Rd, Wichita, KS 67206-1262 | 2020-10-05 |
| Find all providers in WICHITA | ||||
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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.