| Blue Tree Nutrition | |
|
75 E Pine St, Zionsville, IN 46077-1529 | |
| (410) 963-4782 | |
| (317) 671-7633 |
| Full Name | Blue Tree Nutrition |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 75 E Pine St, Zionsville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811518103 | NPI | - | NPPES |
| 1619321973 | Other | IN | TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Valerie L Polley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619321973 PECOS PAC ID: 7113349622 Enrollment ID: I20200629002872 |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Tree Nutrition Po Box 73, Carmel, IN 46082-0073 Ph: (410) 963-4782 | Blue Tree Nutrition 75 E Pine St, Zionsville, IN 46077-1529 Ph: (410) 963-4782 |
Mrs. Joann Gingerich, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6514 Hyde Park Dr, Zionsville, IN 46077 Phone: 609-865-7204 | |
John Flood, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7637 E Stonegate Dr Ste 4, Zionsville, IN 46077 Phone: 802-309-0753 | |
Kayleigh Marie Mouat, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1650 W Oak St Ste 203, Zionsville, IN 46077 Phone: 317-873-1200 Fax: 317-873-1209 | |
Jessica Ann Clark, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6085 Heartland Dr Ste 204, Zionsville, IN 46077 Phone: 317-873-1200 Fax: 317-873-1209 | |
Katherine Anne Schmid, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11193 Glen Avon Way, Zionsville, IN 46077 Phone: 847-867-6942 Fax: 317-344-0265 |