TRACI BOLIN
NPI 1164810016
Dietitian, Registered in Wichita, KS

Active since December 30, 2014
2020 N TYLER RD, WICHITA, KS 67212(316) 312-6388 Get Directions Write a Review

NPPES record last updated: December 30, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Traci Bolin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACI BOLIN (NPI 1164810016) is an individual dietitian, registered in Wichita, Kansas, licensed in Kansas (1966) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1164810016
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameTRACI BOLIN
Location Address2020 N TYLER RDWichita, KS 67212-4905
Mailing Address14218 W Bluegrass CtWichita, KS 67235-8065 · (316) 312-6388
Sole ProprietorYes
Enumeration DateDecember 30, 2014
NPI 1164810016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in KS · 1966
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

2020 N TYLER RD, Wichita, KS 67212

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Radiology, Mammography)
2020 N TYLER RD, STE. # 114
WICHITA, KS 67212
Chiropractor
2020 N TYLER RD, SUITE 112
WICHITA, KS 67212
Occupational Therapist
2020 N TYLER RD, SUITE 112
WICHITA, KS 67212
Nurse Practitioner (Family)
2020 N TYLER RD, SUITE 112
WICHITA, KS 67212
Physical Therapy Assistant
2020 N TYLER RD, SUITE 112
WICHITA, KS 67212
Nurse Practitioner (Family)
2020 N TYLER RD, STE 112
WICHITA, KS 67212
Occupational Therapy Assistant
2020 N TYLER RD
WICHITA, KS 67212
Physician Assistant
2020 N TYLER RD, SUITE 112
WICHITA, KS 67212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Traci Bolin's NPI number?

The NPI number for Traci Bolin is 1164810016. It was assigned to this individual provider in the NPPES registry on December 30, 2014.

Where is Traci Bolin located?

Traci Bolin practices at 2020 N Tyler Rd, Wichita, KS 67212. The listed phone number is (316) 312-6388.

What is Traci Bolin's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Traci Bolin was last updated on December 30, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.