NPI 1093635500 · live from the CMS NPI Registry
Danielle Baum, RD
Dietitian, Registered in Saint Louis, MO. National Provider Identifier 1093635500, active.
NPI record
| NPI | 1093635500 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 621 S New Ballas Rd, Saint Louis, MO 63141 |
| Practice phone | 314-251-8696 |
| Enumerated | July 16, 2026 |
| Last updated | July 16, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 86116905 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.