Carrie L. Shelby, MS, RD, LD

Individual provider Active NPI Registered Dietitian · Richmond Heights, MO

NPI 1174898191 · NPPES record last updated Mar 9, 2012

Key facts

NPI
1174898191
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
2010004924 (MO)
Practice address
6420 Clayton Rd
Richmond Heights, MO 63117-1811
Phone
(314) 768-8891
NPI assigned
Mar 9, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2010004924MOMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2010004924 MO Yes

Addresses

Primary practice location

6420 Clayton Rd
Richmond Heights, MO 63117-1811

Mailing address

6420 Clayton Rd
Richmond Heights, MO 63117-1811

Other providers in Richmond Heights, MO

All providers in Richmond Heights, MO · Registered Dietitian in Missouri

Sources for this page

Verify at the official NPI Registry.