MALLORY H BAERENWALD MS,RD,CD
NPI 1548804370
Dietitian, Registered in Green Bay, WI

Q: What is Mallory Baerenwald's NPI number?

The NPI number for Mallory Baerenwald is 1548804370. It was assigned to this individual provider in the NPPES registry on November 5, 2019. The provider is also known as Mallory H Krueger Ms,rd,cd.

Q: What is Mallory Baerenwald's specialty?

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

Active since November 05, 2019

3263 EATON RD, GREEN BAY, WI 54311(920) 433-6700(920) 433-6719 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Apr 18, 2022, Dec 23, 2019, Nov 5, 2019 (3 updates tracked since 2019).

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About Mallory H Baerenwald Ms,rd,cd NPPES

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

MALLORY H BAERENWALD MS,RD,CD (NPI 1548804370) is an individual dietitian, registered in Green Bay, Wisconsin, licensed in Wisconsin (3465-29) and active in the NPI registry since November 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548804370

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMALLORY H BAERENWALDCredential: MS,RD,CD

Location Address3263 EATON RDGreen Bay, WI 54311-6830

Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289

Phone(920) 433-6700

Fax(920) 433-6719

Sole ProprietorNo

Enumeration DateNovember 5, 2019

Last NPPES UpdateApril 18, 20223 updates tracked since enumeration

NPPES CertifiedApril 18, 2022

✔ NPI 1548804370 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 WI · 3465-29

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.

3263 EATON RD, Green Bay, WI 54311

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Other Names 1

Former Name (1)Mallory H Krueger Ms,rd,cd

Secondary Practice Locations 2

Location 12820 Roosevelt RdMarinette, WI 54143-3834 · Phone (715) 735-5225 · Fax (715) 735-5388

Location 2107 E Highland DrOconto Falls, WI 54154-1002 · Phone (920) 846-3092 · Fax (920) 846-8313

Other Identifiers 1

Other86087767Commission On Dietetic Registration

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource (Common Ground Healthcare).Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. RACHAEL E. VANDEN LANGENBERG D.O.

Family Medicine