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BREANNA M BAILDON RDN
NPI 1881062958
Dietitian, Registered in Puyallup, WA

Active since September 08, 2015
10210 123RD STREET CT E STE D, PUYALLUP, WA 98374(253) 227-4899(206) 350-2612 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Breanna M Baildon Rdn NPPES

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

BREANNA M BAILDON RDN (NPI 1881062958) is an individual dietitian, registered in Puyallup, Washington, licensed in Washington (DI 60590032) and active in the NPI registry since September 2015. She maintains a secondary practice location in Olympia.

NPPES Registry Identity

NPI1881062958
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameBREANNA M BAILDONCredential: RDN
Location Address10210 123RD STREET CT E STE DPuyallup, WA 98374-2634
Mailing Address15308 136th Ave EPuyallup, WA 98374-9241 · (253) 227-8284 · Fax (206) 350-2612
Phone(253) 227-4899
Fax(206) 350-2612
Sole ProprietorNo
Enumeration DateSeptember 8, 2015
Last NPPES UpdateDecember 14, 2022
NPPES CertifiedDecember 14, 2022
✔ NPI 1881062958 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 WA · DI 60590032
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.
10210 123RD STREET CT E STE D, Puyallup, WA 98374
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Other Names 1

Former Name (1)Breanna Leas Rdn

Secondary Practice Location 1

Location 13015 Limited Ln NW, Ste BOlympia, WA 98502-2638 · Phone (360) 709-0700 · Fax (360) 709-0703

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breanna M Baildon Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Breanna Baildon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nutrition Authority PLLC
1.0 mi
Dietitian, Registered
3806 9TH ST SW, SUITE C
Puyallup, WA 98373
  • Reassigned Medicare billing, Washington enrollment
  • 8 clinicians in this Medicare group
NPI 1659782167 (253) 227-8284

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

MRS. BRITTANY ANN HENDRICKSON RDN/CD/DIETITIAN
Dietitian, Registered
10210 123RD STREET CT E STE D
PUYALLUP, WA 98374
Pierce County (580) 291-1056
SOPHIA ELIZABETH CHARITOU RDN
Dietitian, Registered
10210 123RD STREET CT E STE D
PUYALLUP, WA 98374
Pierce County (253) 227-4899
MRS. DANA MICHELLE RUCH CN
Nutritionist
10210 123RD STREET CT E STE D
PUYALLUP, WA 98374
Pierce County (253) 227-4899

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 Breanna Baildon's NPI number?

The NPI number for Breanna Baildon is 1881062958. It was assigned to this individual provider in the NPPES registry on September 8, 2015. The provider is also known as Breanna Leas Rdn.

Where is Breanna Baildon located?

Breanna Baildon practices at 10210 123rd Street Ct E Ste D, Puyallup, WA 98374. The listed phone number is (253) 227-4899.

What is Breanna Baildon's specialty?

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

Is Breanna Baildon enrolled in Medicare?

Yes. Breanna Baildon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Breanna Baildon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breanna Baildon reassigns Medicare benefits to Nutrition Authority PLLC (Puyallup, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Breanna Baildon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Breanna Baildon was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.