NPI 1295604163 · live from the CMS NPI Registry
Mckenna Nicole Baan, RD,LD
Dietitian, Registered in Eureka, MO. National Provider Identifier 1295604163, active.
NPI record
| NPI | 1295604163 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 4520 Emerald View Ct, Eureka, MO 63025 |
| Practice phone | 636-730-8690 |
| Enumerated | October 30, 2025 |
| Last updated | October 30, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.