NPI 1477392264 · live from the CMS NPI Registry
Megan D Baumler, RDN, PhD
Dietitian, Registered in White Bear Lake, MN. National Provider Identifier 1477392264, active.
NPI record
| NPI | 1477392264 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 5045 Division Ave, White Bear Lake, MN 55110 |
| Practice phone | 651-653-2923 |
| Mailing address | 6183 Partridge Ct, Saint Paul, MN 55110 |
| Enumerated | May 21, 2024 |
| Last updated | May 21, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 4145 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.