NPI 1437034402 · live from the CMS NPI Registry
Connor Bailey
Dietitian, Registered in Grand Rapids, MI. National Provider Identifier 1437034402, active.
NPI record
| NPI | 1437034402 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2900 Bradford St Ne, Grand Rapids, MI 49525 |
| Practice phone | 616-885-5000 |
| Mailing address | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 |
| Enumerated | August 8, 2025 |
| Last updated | November 24, 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.