STACEY BOLANDER RDN, RN
NPI 1720620503
Dietitian, Registered in Indianapolis, IN

Active since October 12, 2019
5510 S EAST ST STE H, INDIANAPOLIS, IN 46227(317) 924-8425 Get Directions Write a Review

NPPES record last updated: October 12, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stacey Bolander Rdn, Rn NPPES

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

STACEY BOLANDER RDN, RN (NPI 1720620503) is an individual dietitian, registered in Indianapolis, Indiana, licensed in Indiana (37000665) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1720620503
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSTACEY BOLANDERCredential: RDN, RN
Location Address5510 S EAST ST STE HIndianapolis, IN 46227-1938
Mailing Address5946 Aldridge DrWhitestown, IN 46075-4419 · (317) 506-0814
Sole ProprietorNo
Enumeration DateOctober 12, 2019
NPI 1720620503 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 IN · 37000665
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.

5510 S EAST ST STE H, Indianapolis, IN 46227

Other Providers at the Same Location NPPES 17

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

Internal Medicine (Nephrology)
5510 S EAST ST STE H
INDIANAPOLIS, IN 46227
Internal Medicine (Nephrology)
5510 S EAST ST STE H
INDIANAPOLIS, IN 46227
Nurse Practitioner (Family)
5510 S EAST ST STE H
INDIANAPOLIS, IN 46227
Internal Medicine (Nephrology)
5510 S EAST ST STE H
INDIANAPOLIS, IN 46227
Internal Medicine (Nephrology)
5510 S EAST ST STE H
INDIANAPOLIS, IN 46227
Internal Medicine (Nephrology)
5510 S EAST ST STE H
INDIANAPOLIS, IN 46227
Internal Medicine (Nephrology)
5510 S EAST ST STE H
INDIANAPOLIS, IN 46227
Internal Medicine (Nephrology)
5510 S EAST ST STE H
INDIANAPOLIS, IN 46227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720620503, enumerated as an "individual" on October 12, 2019.

The provider is located at 5510 S EAST ST STE H INDIANAPOLIS, IN 46227 and the phone number is (317) 924-8425.

Dietitian, Registered with taxonomy code 133V00000X.