MARY BAILEY RD
NPI 1922653005
Dietitian, Registered in Boulder, CO

Q: What is Mary Bailey's NPI number?

The NPI number for Mary Bailey is 1922653005. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Q: What is Mary Bailey'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 Mary Bailey was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 August 06, 2019

4410 ARAPAHOE AVE STE 110, BOULDER, CO 80303(720) 358-4343(720) 306-4644 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 16, 2025, Aug 6, 2019 (2 updates tracked since 2019).

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About Mary Bailey Rd NPPES

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

MARY BAILEY RD (NPI 1922653005) is an individual dietitian, registered in Boulder, Colorado, licensed in Oregon (LD-D-10195179) and active in the NPI registry since August 2019. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1922653005

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMARY BAILEYCredential: RD

Location Address4410 ARAPAHOE AVE STE 110Boulder, CO 80303-1135

Mailing Address4410 Arapahoe Ave Ste 110Boulder, CO 80303-1135 · (720) 358-4343 · Fax (720) 306-4644

Phone(720) 358-4343

Fax(720) 306-4644

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 6, 2019

Last NPPES UpdateJune 16, 20252 updates tracked since enumeration

NPPES CertifiedJune 16, 2025

✔ NPI 1922653005 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 OR · LD-D-10195179

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.

4410 ARAPAHOE AVE STE 110, Boulder, CO 80303

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Bailey Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698245066

PECOS Enrollment IDI20260527001075

Other Providers at the Same Location NPPES 7

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

ALEXANDRA GEORGIADIS RD

Dietitian, Registered