Active NPI
Shannon Hayes Buescher I
- Registered Dietitian
- Saint Louis, MO
National Provider Identifier
1104473594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 891963
- Practice address
- 3 The Pines CT Ste B
Saint Louis, MO 63141-6081 - Phone
- (314) 578-7429
- NPI assigned
- Aug 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 891963 | MO | Primary |
Addresses
Primary practice location
3 The Pines CT Ste B
Saint Louis, MO 63141-6081
Mailing address
3 The Pines CT Ste B
Saint Louis, MO 63141-6081
Phone (314) 578-7429
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | shannon@hayesnutrition.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 891963 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1104473594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 THE PINES CT STE B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416081",
"telephone_number": "314-578-7429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 THE PINES CT STE B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416081",
"telephone_number": "314-578-7429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUESCHER",
"first_name": "SHANNON",
"middle_name": "HAYES",
"name_suffix": "I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "891963",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "shannon@hayesnutrition.com",
"affiliation": "N",
"endpointDescription": "business email",
"address_1": "3 The Pines Ct Ste B",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631416081",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.