Shannon Bailey, MS, RD,LD
Individual provider Active NPI Registered Dietitian · Bartlesville, OK
NPI 1194946152 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194946152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1006 (OK)
- Practice address
- 3500 E Frank Phillips Blvd
Bartlesville, OK 74006-2411 - Phone
- (918) 331-1168
- Fax
- (918) 331-1218
- NPI assigned
- May 1, 2007
- 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)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1006 | OK | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1006 | OK | Yes |
Addresses
Primary practice location
3500 E Frank Phillips Blvd
Bartlesville, OK 74006-2411
Mailing address
3500 E Frank Phillips Blvd
Bartlesville, OK 74006-2411
Phone (918) 331-1168
Other providers in Bartlesville, OK
- Kelsie Dawn Avila
- Christopher Sean Bailey
- Hailee E Bailey
- Lance A Bailey
- Merissa Bailey
- Thomas Dean Bailey
- Brea Lenea Baird
- Ben Fowler Baker
- Mark David Baker
- Selena Ryesia Marie Bale
All providers in Bartlesville, OK · Registered Dietitian in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.