MS. SHANNON K MOORE (NPI# 1346522539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346522539 |
| Entity Type | Individual |
| Full Name | MS. SHANNON K MOORE |
| Credential | RD, CD |
| Practice Address |
1050 Division St Mauston WI 53948-1931 |
| Mailing Address |
135 Grand Canyon Dr Ap 107 A Baraboo WI 53913-9077 |
| Practice Telephone | 6088471295 |
| Mailing Telephone | 7632420778 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1058178 | MN | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1058178 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825565 | Shannon Roberta Moore | In Home Supportive Care | 5686 Broadview Rd Apt 2520, Parma, OH 44134-1647 | 2020-09-11 |
| 1033764055 | Shannon Moore | Physical Therapist | 235 Open Sky Way, Kila, MT 59920-7700 | 2019-08-06 |
| 1770006660 | Shannon Moore | Optometrist | 340 Wood Rd Ste 2020, Braintree, MA 02184-2404 | 2017-07-21 |
| 1316327851 | Shannon Moore | Technician, Other | 24837 Princeton St, Dearborn, MI 48124-4457 | 2015-05-30 |
| 1659713071 | Shannon Lori Moore | Dietitian, Registered | 1114 Thomasville Rd Ste G, Tallahassee, FL 32303-6273 | 2013-07-26 |
| 1326388893 | Shannon Michelle Moore | Developmental Therapist | 340 Ralley Rd, Keavy, KY 40737-2729 | 2013-02-21 |
| 1639414345 | Shannon L Moore | Licensed Practical Nurse | 1235 3rd Street, Sedro-woolley, WA 98284 | 2012-12-06 |
| 1669767208 | Shannon M Moore | Pharmacist | 80 Baker St, Richmond, VT 05477-7750 | 2011-06-11 |
| 1154636611 | Shannon Monique Moore | Psychologist | 1675 Lakeland Dr Ste 304, Jackson, MS 39216 | 2010-08-09 |
| 1689630246 | Shannon Jessica Moore | Optometrist | 528 Waterloo Rd, Warrenton, VA 20186-3011 | 2006-04-24 |
| Street Address |
1050 DIVISION ST |
| City | MAUSTON |
| State | WI |
| Zip Code | 53948-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780686006 | John M Murphy | Family Medicine | 1050 Division St, Mauston, WI 53948-1931 | 2005-06-01 |
| 1831708072 | Alyssa Patten | Physical Therapist | 1050 Division St, Mauston, WI 53948-1931 | 2020-07-23 |
| 1619500923 | Brooke Marie Benson | Physician Assistant | 1050 Division St, Mauston, WI 53948-1931 | 2020-02-14 |
| 1336781574 | Leah Bernadette Doughty | Physician Assistant | 1050 Division St, Urgent Care/ed, Mauston, WI 53948 | 2019-10-09 |
| 1093357329 | Tacy Camenga | Physical Therapist | 1050 Division St, Mauston, WI 53948-1931 | 2019-10-08 |
| 1184270332 | Abigail Moring | Speech-Language Pathologist | 1050 Division St, Mauston, WI 53948-1931 | 2019-08-14 |
| 1548812985 | Ashlie Lynn Dushek | Physician Assistant | 1050 Division St, Mauston, WI 53948-1931 | 2019-07-16 |
| 1609437854 | Erin E Hackett | Speech-Language Pathologist | 1050 Division St, Mauston, WI 53948-1931 | 2019-06-27 |
| 1225697766 | Jennifer Birdsey | Physician Assistant | 1050 Division St, Mauston, WI 53948-1931 | 2019-06-09 |
| 1891353223 | Lauren Peterson | Dietitian, Registered | 1050 Division St, Mauston, WI 53948-1931 | 2019-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557691 | Paige Odegard | Case Manager/Care Coordinator | Juneau Co. Dept of Human Services, 200 Hickory Street, Mauston, WI 53948 | 2020-01-23 |
| 1083934418 | Brandon J Valgardson | Dentist | 880 Herriott Drive, Mauston, WI 53948 | 2010-06-08 |
| 1235451204 | Robin Adair Thompson | Dental Hygienist | 880 Herriot Drive, Mauston, WI 53948 | 2010-02-18 |
| 1114169943 | Ptworks LLC | Clinic/Center | 690 Kennedy Street, Mauston, WI 53948 | 2009-03-25 |
| 1609901529 | Mary Ann Brown | Physical Therapy Assistant | N3334 Hwy 58, Mauston, WI 53948 | 2007-02-22 |
| 1497809412 | Bobbi Eckerman | Occupational Therapist | 1050 Division St., Mauston, WI 53948 | 2007-01-23 |
| 1215092820 | Patrick Michael Mccormick | Dentist | 510 E State St, Mauston, WI 53948 | 2006-12-26 |
| 1093772287 | Ann Marie June | Social Worker | Juneau County Dept of Human Services, 200 Hickory St, Mauston, WI 53948 | 2006-05-01 |
| 1740252857 | Phillips Drug Store, Inc. | Pharmacy | 123 E State St, Mauston, WI 53948 | 2006-02-02 |
| 1053876532 | Cassandra A Heideman | Counselor | 200 Hickory Street, Mauston, WI 53948 | 2019-02-08 |
| Find all providers in zip 53948 | ||||
| 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 |
|---|---|---|---|---|
| 1891353223 | Lauren Peterson | Dietitian, Registered | 1050 Division St, Mauston, WI 53948-1931 | 2019-05-31 |
| 1932627676 | Dana Swope | Dietitian, Registered | 1050 Division St, Mauston, WI 53948-1931 | 2017-09-01 |
| 1568992584 | Laura Covelli | Dietitian, Registered | 1050 Division St, Mauston, WI 53948-1931 | 2017-06-13 |
| 1497126031 | Cassandra Holig | Dietitian, Registered | 1050 Division St, Mauston, WI 53948-1931 | 2015-10-08 |
| 1891186946 | Tamara Bernice Steinlicht | Dietitian, Registered | 1050 Division St, Mauston, WI 53948-1931 | 2015-02-11 |
| 1356686406 | Margaret Hewitt | Dietitian, Registered | 1050 Division St, Mauston, WI 53948-1931 | 2012-11-30 |
| 1194057059 | Monica Dawn Knudtson | Dietitian, Registered | 1050 Division St, Mauston, WI 53948-1931 | 2010-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001909 | Wendy M Barth | Dietitian, Registered | N3035 Sidney Ave, Neillsville, WI 54456-7037 | 2020-10-21 |
| 1255946166 | Rachael Omdoll | Dietitian, Registered | 700 Airview Dr, Palmyra, WI 53156-9204 | 2020-09-09 |
| 1194336669 | Carly Duerst | Dietitian, Registered | W6068 Pioneer Rd, New Glarus, WI 53574-9735 | 2020-08-10 |
| 1730799636 | Bailey May Knutson | Dietitian, Registered | N44w6025 Hamilton Rd, Cedarburg, WI 53012-2454 | 2020-08-05 |
| 1538778550 | Kirsten White | Dietitian, Registered | W3021 Cara Way, Appleton, WI 54915-3991 | 2020-07-27 |
| 1780293696 | Samantha Jo Johnson | Dietitian, Registered | 2854 Greenbrier Rd, Green Bay, WI 54311-6528 | 2020-07-27 |
| 1487272977 | Sara Elizabeth Flitter | Dietitian, Registered | W437 Clement Cir, Campbellsport, WI 53010-1846 | 2020-07-10 |
| 1821616517 | Emily Anne Oschmann | Dietitian, Registered | 630 Woodland Cir, Waterford, WI 53185-2885 | 2020-07-08 |
| 1982221180 | Emilie Williamson | Dietitian, Registered | 1340 S 72nd St, West Allis, WI 53214-3122 | 2020-07-03 |
| 1811512916 | Nicole Lehtinen | Dietitian, Registered | 20200 Poplar Creek Pkwy Unit 116n, Brookfield, WI 53045-2163 | 2020-06-15 |
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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.