REGINA E. SHELTON


Address: 1531 S Saint Louis Ave, Chicago, IL 60623-2155
Phone: 7735214665

REGINA E. SHELTON (NPI# 1497959845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497959845
Entity Type Individual
Full Name REGINA E. SHELTON
Credential LICENSED DIETITIAN
Practice Address 1531 S Saint Louis Ave
Chicago
IL 60623-2155
Practice Telephone 7735214665
Mailing Telephone 7735214665
Enumeration Date 2007-06-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133NN1002X Nutritionist
Specialization: Nutrition, Education
IL Dietary & Nutritional Service Providers

Other Providers REGINA SHELTON

NPI Name Taxonomy Address Enumeration
1962861559 Regina Denice Shelton Counselor 4010 Dupont Cir, Suite 379, Louisville, KY 40207-4812 2016-02-11

Office Location

Street Address 1531 S SAINT LOUIS AVE
City CHICAGO
State IL
Zip Code 60623-2155

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Taxonomy Information

Taxonomy Code 133NN1002X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist
Specialization Nutrition, Education

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60623

Improve Information

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Dataset Information

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.

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