KACY ANN SHAFFER (NPI# 1235637562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235637562 |
| Entity Type | Individual |
| Full Name | KACY ANN SHAFFER |
| Practice Address |
6420 Clayton Rd Richmond Heights MO 63117-1811 |
| Practice Telephone | 3147688891 |
| Practice Fax Number | 3147687182 |
| Mailing Telephone | 3147688891 |
| Mailing Fax Number | 3147687182 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
6420 CLAYTON RD |
| City | RICHMOND HEIGHTS |
| State | MO |
| Zip Code | 63117-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780636 | Stephanie Dawn Seidenstricker | Registered Nurse | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2020-11-06 |
| 1508464801 | Leslie Agusti | Dietitian, Registered | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2020-10-09 |
| 1154958775 | Allison Elizabeth Watkins | Obstetrics & Gynecology | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2020-03-24 |
| 1588290464 | Allison Leigh Gustafson | Obstetrics & Gynecology | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2020-03-23 |
| 1467091561 | Rebecca Dubberke | Registered Nurse | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2020-01-06 |
| 1013555952 | Audrey Kate Dombrowski | Dietitian, Registered | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2019-12-10 |
| 1134766652 | Princy Jacob | Registered Nurse | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2019-12-03 |
| 1477103182 | Rebecca Boedeker | Registered Nurse | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2019-09-14 |
| 1801441928 | Leah Marie Brandmeyer | Physician Assistant | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2019-08-06 |
| 1942855366 | Cep America LLC | Emergency Medicine | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2019-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497115257 | Katie Jane Hoehn | Dietitian, Registered | 7920 Thomas Ave, Richmond Heights, MO 63117-2011 | 2016-03-07 |
| 1053782474 | Jenny Miller | Dietitian, Registered | 6429 Clayton Rd, Richmond Heights, MO 63117-1810 | 2015-10-12 |
| 1508464801 | Leslie Agusti | Dietitian, Registered | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2020-10-09 |
| 1013555952 | Audrey Kate Dombrowski | Dietitian, Registered | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2019-12-10 |
| 1487113007 | Sharon Kaye Vance | Dietitian, Registered | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2019-03-13 |
| 1558829499 | Jennifer Cuddeback | Dietitian, Registered | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2019-03-11 |
| 1609360437 | Bhavika Trivedi | Dietitian, Registered | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2018-06-15 |
| 1841792629 | Katelyn Whitener | Dietitian, Registered | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2018-03-07 |
| 1922527795 | Katherine Connor | Dietitian, Registered | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2017-09-13 |
| 1700324225 | Kathryn Piper | Dietitian, Registered | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2017-02-03 |
| Find all providers in RICHMOND HEIGHTS | ||||
| City | RICHMOND HEIGHTS |
| Zip Code | 63117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.