Provider Demographics
NPI:1558253922
Name:BATTHAUER, MADISON (RDN)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:
Last Name:BATTHAUER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2136 CENTRAL AVE APT 1400
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-2036
Mailing Address - Country:US
Mailing Address - Phone:219-242-9791
Mailing Address - Fax:
Practice Address - Street 1:2136 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1964
Practice Address - Country:US
Practice Address - Phone:317-944-9833
Practice Address - Fax:317-944-9833
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN37003776A133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered