Merle Rose Shapera, MS,RD,CDE,LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.000616 Issued in IL

Practice address

1572 Maple Avenue
Unit 604
Evanston, IL 60201

Phone

(708) 415-2693

Fax

(708) 763-1014

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1033242136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 MAPLE AVENUE",
            "address_2": "UNIT 604",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "708-415-2693",
            "fax_number": "708-763-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 MAPLE AVENUE",
            "address_2": "UNIT 604",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "708-415-2693",
            "fax_number": "708-763-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPERA",
        "first_name": "MERLE",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "MS,RD,CDE,LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164000616",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.000616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATENUTRITION LICENSE",
            "identifier": "164.000616",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeleine Ullman Shalowitz, MD
• Shana M. Nicholas, Psy.D. PC
• Shilpa Shankar
• Yvette M. Shannon, D.O.
• Thomas Shao
• Micah Shapiro, LCSW
• Eman Sharif, MD
• Ankita Sharma, MD
• Sushil Sharma, MD
• Tracee Sharrieff

• Registered Dietitian in Evanston, IL
• Providers in Evanston, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.