Rick Shields, CDN PHD

Primary specialty

NutritionistTaxonomy code 133N00000X

License

000227 Issued in NY

Practice address

13681 71St Road
Flushing, NY 11367-1942

Phone

(718) 544-4036

Fax

(718) 544-4036

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Balanced Living Incorporated

  • Nutritionist
  • Flushing, NY
  • NPI 1811390297
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376695536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13681 71ST ROAD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13681 71ST ROAD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671942",
            "telephone_number": "718-544-4036",
            "fax_number": "718-544-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "RICK",
        "name_prefix": "Mr.",
        "credential": "CDN PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "000227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiandong Shi, M.D.
• Xiaoyu Shi, NP
• Ximing Shi, LMT
• Shidong Su, MD,PC
• Miriam Shields, PSYD
• Jennifer Kathleen Shih
• Juien Shih
• Pei-Yu Shih
• San Cheng Shih, M.D.
• Christine Shim, LCSW

• Nutritionist in Flushing, NY
• Providers in Flushing, NY by specialty
• Nutritionist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.