Active NPI
Madison Shrum, MS, RD, LD
- Registered Dietitian
- Brentwood, MO
National Provider Identifier
1053109975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2024049612
- Practice address
- 1526 Swallow Dr
Brentwood, MO 63144-1620 - Phone
- (573) 559-8595
- NPI assigned
- Apr 29, 2025
- Last updated
- Apr 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2024049612 | MO | Primary |
Addresses
Primary practice location
1526 Swallow Dr
Brentwood, MO 63144-1620
Mailing address
207 E Hornbeck St
Senath, MO 63876-9223
Phone (573) 559-8595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024049612 | MO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strategic Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1053109975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 E HORNBECK ST",
"city": "SENATH",
"state": "MO",
"postal_code": "638769223",
"telephone_number": "573-559-8595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1526 SWALLOW DR",
"city": "BRENTWOOD",
"state": "MO",
"postal_code": "631441620",
"telephone_number": "573-559-8595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRUM",
"first_name": "MADISON",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-29",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2024049612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.