Active NPI
Shaina Sweeney
- Nutritionist
- Desloge, MO
National Provider Identifier
1497478390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 601 E Elm St Unit B
Desloge, MO 63601-3317 - Phone
- (573) 330-6163
- NPI assigned
- Sep 26, 2022
- Last updated
- Sep 26, 2022
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
601 E Elm St Unit B
Desloge, MO 63601-3317
Mailing address
601 E Elm St Unit B
Desloge, MO 63601-3317
Phone (573) 330-6163
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1497478390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E ELM ST UNIT B",
"city": "DESLOGE",
"state": "MO",
"postal_code": "636013317",
"telephone_number": "573-330-6163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E ELM ST UNIT B",
"city": "DESLOGE",
"state": "MO",
"postal_code": "636013317",
"telephone_number": "573-330-6163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEENEY",
"first_name": "SHAINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Desloge, MO
- Molly C Smith, PHARMD
- Nancy Diana Smith, M.A.
- Southern Home Care Services, Inc. (All Ways Caring HomeCare)
- Hannah Danyell Stamp, PTA
- Kortney Stephansky, PTA
- Templar Counseling Services, LLC
- Tender Hands Adult Health Daycare (House of Praise Church of God)
- Kelsey Marie Thompson
- Zachary Thomas Toenjes
- Daniel Bruce Torrence
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.