Active NPI
Myra Schwartz, RD, LD
- Registered Dietitian
- Chaffee, MO
National Provider Identifier
1407179773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2003004956
- Practice address
- 1181 County Highway 210
Chaffee, MO 63740-9244 - Phone
- (573) 579-8821
- NPI assigned
- Mar 1, 2010
- Last updated
- Mar 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2003004956 | MO | Primary |
| Renal Nutrition Registered Dietitian | 133VN1005X | 2003004956 | MO | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 2003004956 | MO |
Addresses
Primary practice location
1181 County Highway 210
Chaffee, MO 63740-9244
Mailing address
1181 County Highway 210
Chaffee, MO 63740-9244
Phone (573) 579-8821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003004956 | MO | MD | Metabolic Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1407179773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1181 COUNTY HIGHWAY 210",
"city": "CHAFFEE",
"state": "MO",
"postal_code": "637409244",
"telephone_number": "573-579-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1181 COUNTY HIGHWAY 210",
"city": "CHAFFEE",
"state": "MO",
"postal_code": "637409244",
"telephone_number": "573-579-8821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "MYRA",
"name_prefix": "Mrs.",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-01",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2003004956",
"primary": true
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "MO",
"license": "2003004956",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "MO",
"license": "2003004956",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chaffee, MO
- Kiefer Thompson Pharma (Chaffee Drug Store)
- Dolly Kluesner, MA CCC-SLP
- Missouri Delta Medical Center (Chaffee Medical Clinic)
- Bobby Tom Moudy, DDS
- Kristy Roth, PHARMD
- Terri Semmler, P.T.A.
- Courtney McGill Teegarden, PHARMD
- Amy Beth Thompson, RPH
- Thymios P Lambrou Lilbourn Medical Clinic (Chaffee Medical Clinic)
- Chance Eric White, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.