Individual provider Active NPI

Shelbie C Calk Greenville, MS, RDN, LD

  • Registered Dietitian
  • Nacogdoches, TX
National Provider Identifier
1174097000
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT85139 Issued in TX
Practice address
2400 N Stallings Dr
Nacogdoches, TX 75964-1222
Phone
(936) 205-1721
Fax
(866) 259-8676
NPI assigned
Jan 14, 2019
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT85139 TX Primary

Addresses

Primary practice location

2400 N Stallings Dr
Nacogdoches, TX 75964-1222

Mailing address

316 Edgewood Cir
Lufkin, TX 75904-7518
Phone (936) 465-6997

Other practice location 1

316 Edgewood Cir
Lufkin, TX 75904-7518
Phone (936) 465-6997

Other names 1

  • Shelbie Calk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200317000519 TX Practitioner - Registered Dietitian Or Nutrition Professional 9830439249 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Institute for Kidney and Endocrine Disorders, PAGroup PAC ID 3274587159, 2 clinicians

Practice addresses (Care Compare)

10 Medical Ctr Blvd
Suite a
Lufkin, TX 75904-3163
Phone (936) 632-4282

2400 N Stallings Dr
Nacogdoches, TX 75964-1222
Phone (936) 205-1721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP Dietitian, Registered CurrentSince Jan 1, 2020 Accepting new patients
Texas Institute for Kidney and Endocrine Disorders, PA CurrentSince Sep 17, 2025 Accepting new patients
Mindful Nutrition Counseling LLC Dietitian, Registered CurrentSince Dec 6, 2022 Accepting new patients
H-E-B, LP CurrentSince Jan 1, 2020 Accepting new patients
Mindful Nutrition Counseling LLC Dietitian, Registered CurrentSince Dec 2, 2022 Accepting new patients

Locations

10 Medical Center Blvd
Ste A
Lufkin, TX 75904
Phone (936) 632-4282

2400 N Stallings Dr
Nacogdoches, TX 75964
Phone (936) 205-1721

735 SW Military Dr
San Antonio, TX 78221
Phone (210) 927-6875

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIAHBD/Endpoint/DIAHBD

Organizations & group practices 5

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": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1174097000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 EDGEWOOD CIR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759047518",
            "telephone_number": "936-465-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759641222",
            "telephone_number": "936-205-1721",
            "fax_number": "866-259-8676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Edgewood Cir",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "759047518",
            "country_code": "US",
            "telephone_number": "936-465-6997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALK GREENVILLE",
        "first_name": "SHELBIE",
        "middle_name": "C",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBIE",
            "last_name": "CALK",
            "credential": "RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.