Shawn Nolen Rice, M.D
Individual provider Active NPI Psychiatry Physician · Fair Grove, MO
NPI 1457542706 · NPPES record last updated Aug 1, 2007
Key facts
- NPI
- 1457542706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 117185 (MO)
- Practice address
- 14 Red Fern LN
Fair Grove, MO 65648-4100 - Phone
- (417) 863-2997
- Fax
- (417) 873-9482
- NPI assigned
- Aug 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117185 | MO | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 117185 | MO | Yes |
Addresses
Primary practice location
14 Red Fern LN
Fair Grove, MO 65648-4100
Mailing address
14 Red Fern LN
Fair Grove, MO 65648-4100
Phone (417) 863-2997
Other providers in Fair Grove, MO
- Michael Lentz
- Lester E Cox Medical Centers
- Emma Letterman
- Michael Cameron Lincks
- Charles Edwin Myers
- RPCS Inc
- Smith Management Services, LLC
All providers in Fair Grove, MO · Psychiatry Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 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.