Provider Demographics
NPI:1326925017
Name:HANNA, BAILEY (RDN)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:HANNA
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:BAILEY
Other - Middle Name:
Other - Last Name:FRANZEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN
Mailing Address - Street 1:1008 CHEYENNE VILLAS PT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-5099
Mailing Address - Country:US
Mailing Address - Phone:402-253-7879
Mailing Address - Fax:
Practice Address - Street 1:1008 CHEYENNE VILLAS PT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-5099
Practice Address - Country:US
Practice Address - Phone:402-253-7879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-16
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO86073203133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered