BAILEY PERSONETTE (NPI# 1972149862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972149862 |
| Entity Type | Individual |
| Full Name | BAILEY PERSONETTE |
| Credential | RD, CD |
| Practice Address |
1540 Trinity Pl Mishawaka IN 46545-5006 |
| Mailing Address |
5409 Osage Lake Dr Apt 2a Mishawaka IN 46545-1288 |
| Practice Telephone | 5742729000 |
| Mailing Telephone | 5742612035 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86067213 | IN | Dietary & Nutritional Service Providers |
| Street Address |
1540 TRINITY PL |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-5006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780070755 | Joseph John Bartush | Family Medicine | 1540 Trinity Pl, Mishawaka, IN 46545-5006 | 2015-04-07 |
| 1598328627 | Carly Grmek | Pharmacist | 1540 Trinity Pl, Mishawaka, IN 46545-5006 | 2019-04-15 |
| 1164982096 | Acacia Nichole Nero | Licensed Practical Nurse | 1540 Trinity Pl, Mishawaka, IN 46545-5006 | 2019-03-25 |
| 1114494309 | Bethany Ann Kirkland | Occupational Therapist | 1540 Trinity Pl, Mishawaka, IN 46545-5006 | 2018-10-26 |
| 1316420011 | Kari Rene Crawford | Audiologist | 1540 Trinity Pl, Mishawaka, IN 46545-5006 | 2018-09-10 |
| 1497252894 | Daniel Amos Dant | Licensed Vocational Nurse | 1540 Trinity Pl, Mishawaka, IN 46545-5006 | 2018-04-11 |
| 1528581741 | Kaci Brielle Kehrt | Pharmacist | 1540 Trinity Pl, Mishawaka, IN 46545 | 2017-07-19 |
| 1427597707 | Marion Vamc | Clinic/Center | 1540 Trinity Pl, Mishawaka, IN 46545-5006 | 2017-02-20 |
| 1801270855 | Christopher Bugajski | Optometrist | 1540 Trinity Pl, Mishawaka, IN 46545-5006 | 2015-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| 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 |
|---|---|---|---|---|
| 1952738460 | Ashlinn Kipp | Dietitian, Registered | 5509 Ottawa Ct Apt 2a, Mishawaka, IN 46545-8471 | 2013-09-28 |
| 1497095343 | April Lynn Root | Dietitian, Registered | St. Joseph County Va Clinic, 1540 Trinity Place, Mishawaka, IN 46545 | 2013-02-28 |
| 1114129046 | Nikole Suzanne Barrett | Dietitian, Registered | 229 E Omer Ave, Mishawaka, IN 46545-6345 | 2007-06-04 |
| 1306961602 | Tracy Jeannine Pfaffenberger | Dietitian, Registered | 129 S Home St, Mishawaka, IN 46544-3134 | 2007-03-19 |
| 1093219008 | Mayelin Lora-williams | Dietitian, Registered | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2018-03-23 |
| 1336467612 | Stephanie Terese Malley | Dietitian, Registered | 611 East Douglas Road, Suite 405, Mishawaka, IN 46545-1468 | 2010-05-11 |
| 1760560114 | Christina Kaye Senff | Dietitian, Registered | 215 W 4th St, Mishawaka, IN 46544-1917 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043002 | Lauren Neuenschwander | Dietitian, Registered | 10017 Schuyler Ct, Fort Wayne, IN 46804-4377 | 2020-11-07 |
| 1457950099 | Pablo C Torres Aguilar | Dietitian, Registered | 745 Agriculture Mall Dr Ofc B239, West Lafayette, IN 47907-2009 | 2020-10-24 |
| 1669079562 | Michele Murphy Wise | Dietitian, Registered | 5105 Woodmere Ct, Valparaiso, IN 46383-6672 | 2020-10-04 |
| 1760099956 | Jessica Thornton | Dietitian, Registered | 5919 Pine Bluff Dr, Avon, IN 46123-6681 | 2020-09-30 |
| 1194332346 | Nutrition With Megan, LLC | Dietitian, Registered | 1950 East Greyhound Pass, Suite 18 #179, Carmel, IN 46033-7730 | 2020-09-30 |
| 1114533445 | Barissa Larson | Dietitian, Registered | 12192 Hoosier Rd, Fishers, IN 46037-9419 | 2020-09-22 |
| 1427664291 | Michelle Graves | Dietitian, Registered | 8505 N Clearview Drive, Mccordsville, IN 46055 | 2020-09-17 |
| 1174138077 | Monica Coffey | Dietitian, Registered | 2673 E 100 N, Anderson, IN 46012-9684 | 2020-09-09 |
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1477167153 | Kayla E King | Dietitian, Registered | 864 S Basswood Dr Apt D, Bloomington, IN 47403-2968 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
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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.