Andrea L. Bailey, RD, LD
NPI 1205284213ActiveIndividual· Dietitian, Registered· Boise, ID
Dietitian, Registered (RD, LD) in Boise, Idaho, licensed in ID, FL and NC, with an NPI issued in May 2016. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1205284213 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD, LD |
| Sole proprietor | Yes |
| NPI issued | May 31, 2016 |
| Last updated in NPPES | Jan 31, 2023 |
| Certified by provider | Jan 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | D-1027 | ID |
| Dietitian, Registered | 133V00000X | ND-11269 | FL |
| Dietitian, Registered | 133V00000X | L007017 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (ID) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
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