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

Q: What is Stacey Bolander's NPI number?

The NPI number for Stacey Bolander is 1720620503. It was assigned to this individual provider in the NPPES registry on October 12, 2019.

Q: What is Stacey Bolander's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacey Bolander was last updated on October 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 09, 2026.

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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

Phone(317) 924-8425

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

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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.

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