Active NPI
Marci Shaffer, RD
- Registered Dietitian
- Kalispell, MT
National Provider Identifier
1437521077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- MED-NUTR-LIC-388
- Practice address
- 430 Windward Way Ste 101
Kalispell, MT 59901-2618 - Phone
- (406) 758-7888
- Fax
- (406) 758-7898
- NPI assigned
- Oct 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | MED-NUTR-LIC-388 | MT | Primary |
Addresses
Primary practice location
430 Windward Way Ste 101
Kalispell, MT 59901-2618
Mailing address
430 Windward Way Ste 101
Kalispell, MT 59901-2618
Phone (406) 758-7888
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Kalispell Regional Medical Center Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-NUTR-LIC-388 | MT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalispell Regional Medical Center Inc | Current | Accepting new patients | |
| Kalispell Regional Medical Center Inc | Current | Accepting new patients | |
| Kalispell Regional Medical Center, Inc | Past | Accepting new patients |
Locations
350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992
310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310
Interoperability endpoints
- krmcmedicalrecords@krhdirect.org
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Kalispell, MT
- NPI 1417945627
-
- Clinic/Center
- Kalispell, MT
- NPI 1235333139
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Kalispell, MT
- NPI 1477989770
-
- Surgery Physician
- Kalispell, MT
- NPI 1215527403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1437521077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 WINDWARD WAY STE 101",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599012618",
"telephone_number": "406-758-7888",
"fax_number": "406-758-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 WINDWARD WAY STE 101",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599012618",
"telephone_number": "406-758-7888",
"fax_number": "406-758-7898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "MARCI",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-22",
"last_updated": "2023-11-27",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MT",
"license": "MED-NUTR-LIC-388",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "krmcmedicalrecords@krhdirect.org",
"affiliation": "Y",
"affiliationName": "Kalispell Regional Medical Center Inc",
"address_1": "430 Windward Way",
"address_2": "Suite 100",
"city": "Kalispell",
"state": "MT",
"country_code": "US",
"postal_code": "599012619",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.