Christian Nicole Shaw, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

173929 Issued in KY

Practice address

716 Poplar St
Murray, KY 42071-2546

Phone

(270) 752-2936

NPI assigned

Nov 21, 2017

Last updated

Nov 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jennie Stuart Medical Center Inc

  • General Acute Care Hospital
  • Hopkinsville, KY
  • NPI 1235139312
  Medicare reassignment NPD
• Jennie Stuart Medical Center Inc

  • Family Nurse Practitioner
  • Hopkinsville, KY
  • NPI 1790086767

  Dietitian, Registered

  NPD
• Jennie Stuart Medical Center Inc

  dba Jennie Stuart Family Health

  • Rural Health Clinic/Center
  • Hopkinsville, KY
  • NPI 1912627605
  NPD

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1124532627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 POPLAR ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 POPLAR ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712546",
            "telephone_number": "270-752-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CHRISTIAN",
        "middle_name": "NICOLE",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "173929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR",
            "identifier": "86072940",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Mansfield Scott, MS CCC SLP
• Sydney Sedlock
• Suzanne Seeley, RD, LD
• Brett Severns, FNP-C
• Ghanshyam S Shastri, M.D.
• Tara Shawn Shelton, RD,LD,CDE
• Erica L Shepard
• Raymond Edward Sheridan, LPCA
• Sleep Source Kentucky, LLC
• Michelle Smart, ARNP

• Registered Dietitian in Murray, KY
• Providers in Murray, KY by specialty
• Registered Dietitian in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.