SHELLY MARIE REDMOND (NPI# 1265443592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265443592 |
| Entity Type | Individual |
| Full Name | SHELLY MARIE REDMOND |
| Credential | MS, LDN, RD |
| Practice Address |
6925 Querbes Dr Shreveport LA 71106-2417 |
| Practice Telephone | 3184260987 |
| Mailing Telephone | 3184260987 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2013-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1795 | LA | Dietary & Nutritional Service Providers |
| Street Address |
6925 QUERBES DR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| 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 |
|---|---|---|---|---|
| 1861043770 | Savanna Latimer | Dietitian, Registered | 9000 W Wilderness Way Apt 299, Shreveport, LA 71106-6848 | 2019-09-23 |
| 1003362872 | Rosa Cori Anderson | Dietitian, Registered | 1501 Irving Place, Shreveport, LA 71101-4604 | 2016-08-31 |
| 1427402809 | Gwendolyn Michelle Hoppe | Dietitian, Registered | 152 Kayla St, Shreveport, LA 71105-4212 | 2016-04-21 |
| 1639595887 | Ashley Rachal | Dietitian, Registered | 630 Prospect St, Shreveport, LA 71104-3124 | 2014-03-12 |
| 1699052704 | Joyce A Pickett | Dietitian, Registered | 510 E Stoner Ave, Overton Brooks Vamc, Shreveport, LA 71101 | 2011-11-03 |
| 1245400118 | Amanda Bowman | Dietitian, Registered | 9314 Melissa Way, Shreveport, LA 71115-2527 | 2008-03-07 |
| 1013524222 | Brittany Hawkins | Dietitian, Registered | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-09-30 |
| 1598376873 | Martha Stevens | Dietitian, Registered | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-08-11 |
| 1972058170 | Diabetes Assessment and Management Center of Shreveport LLC | Dietitian, Registered | 1560 Irving Pl, Shreveport, LA 71101-4604 | 2016-08-18 |
| 1497101091 | Daniel Robert Martin | Dietitian, Registered | 3217 Mabel St, Shreveport, LA 71103-4022 | 2016-05-12 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
Please comment or provide details below to improve the information on SHELLY MARIE REDMOND.
| 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.